{
"Npi": {
"NPI": "1497669220",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BAY AREA MEDICAL ASSOCIATES PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2705 MOSS CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SEABROOK",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77586-2835",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "216-482-4039",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "600 N KOBAYASHI STE 112",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WEBSTER",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77598-4841",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "346-642-6891",
"PracticeLocationAddressFaxNumber": "346-642-6892",
"EnumerationDate": "09/29/2026",
"LastUpdateDate": "09/29/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ABOUELSAAD",
"AuthorizedOfficialFirstName": "MAI",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MANAGING MEMBER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "216-482-4039",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207RN0300X",
"TaxonomyName": "Nephrology Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}