MEDICARE: BAY WEST FAMILY HEALTHCARE MEDICAL GROUP, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	207Q00000X	CA
2	207R00000X	Internal Medicine Physician	207R00000X	CA

General Provider Information

NPI Number	:	1073523577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY WEST FAMILY HEALTHCARE MEDICAL GROUP, INC

Provider Business Mailing Address
First Line	:	1580 VALENCIA ST STE 201
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-4420
Country	:	US
Telephone Number	:	415-550-4710
Fax Number	:	415-550-6784

Provider Business Practice Location Address
First Line	:	1580 VALENCIA ST STE 201
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-4420
Country	:	US
Telephone Number	:	415-550-4710
Fax Number	:	415-550-6784

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. BARBARA M. BISHOP
Credential	:	M.D.
Telephone Number	:	415-550-4710

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	09/11/2025

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