Healthcare Provider Details

I. General information

NPI: 1801750740
Provider Name (Legal Business Name): BAY AREA TRAUMA AND ACUTE CARE SURGICAL SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19845 LAKE CHABOT RD STE 200
CASTRO VALLEY CA
94546-4055
US

IV. Provider business mailing address

19845 LAKE CHABOT RD STE 200
CASTRO VALLEY CA
94546-4055
US

V. Phone/Fax

Practice location:
  • Phone: 510-538-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: NOOR SABA AZIMI
Title or Position: PRESIDENT
Credential: MD
Phone: 510-538-5500