Provider Demographics
NPI:1144332040
Name:BIO-MEDICAL APPLICATIONS OF CALIFORNIA INC
Entity type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF CALIFORNIA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:DIVITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:37478 CEDAR BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-4134
Mailing Address - Country:US
Mailing Address - Phone:510-744-0790
Mailing Address - Fax:510-744-0796
Practice Address - Street 1:37478 CEDAR BLVD STE A
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-4134
Practice Address - Country:US
Practice Address - Phone:510-744-0790
Practice Address - Fax:510-744-0796
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-31
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
052797Medicare Oscar/Certification