Healthcare Provider Details

I. General information

NPI: 1881765964
Provider Name (Legal Business Name): BAY SURGERY CENTER LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6633 TELEGRAPH AVE SUITE B
OAKLAND CA
94609-1115
US

IV. Provider business mailing address

6633 TELEGRAPH AVE SUITE B
OAKLAND CA
94609
US

V. Phone/Fax

Practice location:
  • Phone: 510-841-2179
  • Fax: 510-540-6998
Mailing address:
  • Phone: 510-841-2179
  • Fax: 510-540-6990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number1400656
License Number StateCA

VIII. Authorized Official

Name: NAZIR AHMAD NOOR
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 510-841-2179