MEDICARE: BAY AREA REHABILITATION MEDICAL GROUP

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	208100000X	Physical Medicine & Rehabilitation Physician	G192980	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CP1128	OTHER	CA	GROUP MCRERR
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295738805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY AREA REHABILITATION MEDICAL GROUP

Provider Business Mailing Address
First Line	:	2250 HAYES ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-1013
Country	:	US
Telephone Number	:	415-750-5761
Fax Number	:	415-666-0210

Provider Business Practice Location Address
First Line	:	2001 DWIGHT WAY
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94704-2608
Country	:	US
Telephone Number	:	510-204-4411
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	HERBERT GOODMAN
Credential	:	M.D.
Telephone Number	:	510-204-4411

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	05/14/2008

Similar Medicare Providers

1518963693 — LIFELONG MEDICAL CARE
Practice Location Address:

2001 DWIGHT WAY , RM 1363
BERKELEY, CA
94704-2608

Practice Phone: 510-204-4666
Practice Fax:

1881694198 — MS. ERIKA BRUCE NP
Practice Location Address:

2001 DWIGHT WAY , SUITE # 1363
BERKELEY, CA
94704-2608

Practice Phone: 510-204-4666
Practice Fax: 510-204-5304

1053312355 — DR. PATRICK SWIFT M.D.
Practice Location Address:

2001 DWIGHT WAY
BERKELEY, CA
94704-2608

Practice Phone: 510-204-2462
Practice Fax: 510-204-1499

1043208457 — NORTHERN CALIFORNIA HEMATOLOGY AND ONCOLOGY CONSULTANTS, INC
Practice Location Address:

2001 DWIGHT WAY
BERKELEY, CA
94704-2608

Practice Phone: 510-204-6402
Practice Fax: 510-848-0801

1780672048 — DR. DAVID H. IRWIN M.D.
Practice Location Address:

2001 DWIGHT WAY
BERKELEY, CA
94704-2608

Practice Phone: 510-204-6402
Practice Fax: 510-848-0801

1780673442 — DR. MICHAEL CASSIDY M.D.
Practice Location Address:

2001 DWIGHT WAY
BERKELEY, CA
94704-2608

Practice Phone: 510-204-1591
Practice Fax: 510-204-6440

Directions to “BAY AREA REHABILITATION MEDICAL GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.