Provider Demographics
NPI:1346432937
Name:BAYMED EXPRESS, INC.
Entity Type:Organization
Organization Name:BAYMED EXPRESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEMYON
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTNOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-561-0629
Mailing Address - Street 1:674 42ND AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-2533
Mailing Address - Country:US
Mailing Address - Phone:415-221-7188
Mailing Address - Fax:415-561-0621
Practice Address - Street 1:1408 YOSEMITE AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124
Practice Address - Country:US
Practice Address - Phone:415-561-0628
Practice Address - Fax:415-561-0621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-16
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)