Healthcare Provider Details
I. General information
NPI: 1427899905
Provider Name (Legal Business Name): BAY CARE GROUP P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/06/2024
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3701 LONE TREE WAY STE 8
ANTIOCH CA
94509-6015
US
IV. Provider business mailing address
3701 LONE TREE WAY STE 8
ANTIOCH CA
94509-6015
US
V. Phone/Fax
- Phone: 510-579-8332
- Fax:
- Phone: 510-579-8332
- Fax: 510-570-3918
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
IRMEEN
M
ASHRAF
Title or Position: CEO
Credential: MD
Phone: 888-491-6297