Shuang Bai, M.D. Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A68895 Issued in CA

Legal business name

SHUANG BAI, M.D. INC.

Practice address

399 E Highland Ave Ste 502
San Bernardino, CA 92404-3872

Phone

(909) 883-3838

Fax

(909) 792-5531

NPI assigned

Aug 28, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kelli A Burnett

Title

Billing Manager

Phone

(909) 793-5511

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shuang Bai, M.D.

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1154346799
  NPD (past)
• Tariq Jamil

  • Specialist
  • San Bernardino, CA
  • NPI 1629159876
  NPD (past)
• Qiuyue Li

  • Family Nurse Practitioner
  • San Bernardino, CA
  • NPI 1578926317
  NPD (past)
• Ifeanyi Ugochuku, M.D.

  • Surgery Physician
  • San Bernardino, CA
  • NPI 1558393017
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1003397936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE STE 502",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043872",
            "telephone_number": "909-883-3838",
            "fax_number": "909-792-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE STE 502",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043872",
            "telephone_number": "909-883-3838",
            "fax_number": "909-792-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUANG BAI, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "909-793-5511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A68895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myung Shik Shin, DDS
• Sook-Ja Shin, M.D.
• Trinity M Shofner
• Jasmine La'Rae Shorter
• Dajuan Shorts Jr.
• Alesia Linette Shumate
• Ian Shwartzman, DDS
• Arshad Sial, MD
• Hateem Siddiqui
• Uzair Siddiqui, MD

• Internal Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.