MEDICARE: THE BAY SCHOOL

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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1861516304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE BAY SCHOOL

Provider Business Mailing Address
First Line	:	5400 SOQUEL AVE
Second Line	:	SUITE F
City	:	SANTA CRUZ
State	:	CA
Zip	:	95062-7803
Country	:	US
Telephone Number	:	831-462-9620
Fax Number	:

Provider Business Practice Location Address
First Line	:	5400 SOQUEL AVE
Second Line	:	SUITE F
City	:	SANTA CRUZ
State	:	CA
Zip	:	95062-7803
Country	:	US
Telephone Number	:	831-462-9620
Fax Number	:

Authorized Official
Title or Position	:	AR MANAGER
Name	:	MS. LORI TRITTO
Credential	:
Telephone Number	:	781-437-1323

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	08/22/2020

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Directions to “THE BAY SCHOOL ” Practice Location

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