MEDICARE: BAYAREA HYPERBARICS

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1225191026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYAREA HYPERBARICS

Provider Business Mailing Address
First Line	:	14589 S BASCOM AVE
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95032-2026
Country	:	US
Telephone Number	:	408-356-7438
Fax Number	:	408-356-7491

Provider Business Practice Location Address
First Line	:	14589 S BASCOM AVE
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95032-2026
Country	:	US
Telephone Number	:	408-356-7438
Fax Number	:	408-356-7491

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. LISA ST. JOHN
Credential	:
Telephone Number	:	408-356-7438

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	06/18/2024

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Directions to “BAYAREA HYPERBARICS ” Practice Location

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