Healthcare Provider Details

I. General information

NPI: 1265513360
Provider Name (Legal Business Name): NORTHBAY NEONATOLOGY ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SUTTER SOLANO MEDICAL CENTER 300 HOSPITAL DRIVE
VALLEJO CA
94589-2594
US

IV. Provider business mailing address

1860 PENNSYLVANIA AVE SUITE 145
FAIRFIELD CA
94533-3590
US

V. Phone/Fax

Practice location:
  • Phone: 707-554-5102
  • Fax:
Mailing address:
  • Phone: 707-429-6968
  • Fax: 707-429-6906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: RICHARD E. BELL
Title or Position: PRESIDENT
Credential: MD
Phone: 707-429-6968