MEDICARE: NORTHBAY HEALTH MEDICAL FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RC0000X	Cardiovascular Disease Physician
2	207X00000X	Orthopaedic Surgery Physician
3	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician
4	208000000X	Pediatrics Physician
5	207RI0200X	Infectious Disease Physician
6	207RI0011X	Interventional Cardiology Physician
7	207RH0003X	Hematology & Oncology Physician
8	207RP1001X	Pulmonary Disease Physician
9	207P00000X	Emergency Medicine Physician
10	207Q00000X	Family Medicine Physician
11	208VP0000X	Pain Medicine Physician
12	213E00000X	Podiatrist
13	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1760283527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHBAY HEALTH MEDICAL FOUNDATION

Provider Business Mailing Address
First Line	:	4500 BUSINESS CENTER DR
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94534-6888
Country	:	US
Telephone Number	:	707-646-3110
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 BUSINESS CENTER DR
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94534-6888
Country	:	US
Telephone Number	:	707-646-3110
Fax Number	:

Authorized Official
Title or Position	:	BOARD MEMBER
Name	:	MR. JOSEPH D'ANGINA
Credential	:
Telephone Number	:	707-646-3110

Provider Enumeration Date	:	03/19/2025
Last Update Date	:	06/23/2026

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Directions to “NORTHBAY HEALTH MEDICAL FOUNDATION ” Practice Location

Language	Start Address	Practice Location

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