Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bay Area Comprehensive Spine and Sports Medical Group Inc

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1205928645

Bay Area Comprehensive Spine and Sports Medical Group Inc is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Oakland, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5700 Telegraph Ave Ste 100
Oakland, CA 94609-1710
Phone: (510) 463-4700
Fax: (510) 463-4722
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X

Record details

NPI number1205928645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Park — President · (510) 463-4700
NPI enumeratedSeptember 29, 2006
Last updated in NPPESOctober 9, 2019
Mailing address5700 Telegraph Ave Ste 100, Oakland, CA 94609-1710

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