Graduated: 2020
NPI: 1174292767
Practice Locations (2)
NORTHBAY HEALTH MEDICAL FOUNDATION
1320 TRAVIS BLVD, C
FAIRFIELD, CA 945334654
7076464000
NORTHBAY PHYSICIANS SURGERY CENTER, LLC
1679 E MONTE VISTA AVE, SUITE 104
VACAVILLE, CA 956883123
7076247400
Source: CMS National Downloadable File, September 2026.