Active NPI
Enara Health Group, P.C.
- Obesity Medicine (Internal Medicine) Physician
- San Mateo, CA
National Provider Identifier
1063817823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Internal Medicine) Physician
- Legal business name
- ENARA HEALTH GROUP, P.C.
- Practice address
- 3050 S Delaware St Ste 130
San Mateo, CA 94403-2394 - Phone
- (650) 319-8654
- NPI assigned
- Oct 23, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohammed Rami Bailony, M.D
- Title
- Medical Director
- Phone
- (619) 807-2861
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | |||
| Internal Medicine Physician | 207R00000X | |||
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | Primary | ||
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | |||
| Physical Therapist | 225100000X | |||
| Physical Therapy Assistant | 225200000X |
Addresses
Primary practice location
3050 S Delaware St Ste 130
San Mateo, CA 94403-2394
Mailing address
3050 S Delaware St Ste 130
San Mateo, CA 94403-2394
Phone (650) 319-8654
Other practice location 1
1650 S Amphlett Blvd
Suite 115
San Mateo, CA 94402-2517
Phone (650) 319-8654
Other names 1
- Enara Health Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1650 S Amphlett Blvd
Ste 216
San Mateo, CA 94402
Phone (650) 319-8654
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- San Mateo, CA
- NPI 1801114111
-
- Family Nurse Practitioner
- San Mateo, CA
- NPI 1932688074
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1578717237
-
- Physician Assistant
- Stanford, CA
- NPI 1790238046
-
- Clinical Exercise Physiologist
- San Mateo, CA
- NPI 1467098772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594252800000",
"number": "1063817823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 S DELAWARE ST STE 130",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944032394",
"telephone_number": "650-319-8654",
"fax_number": "650-251-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 S DELAWARE ST STE 130",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944032394",
"telephone_number": "650-319-8654"
}
],
"practiceLocations": [
{
"address_1": "1650 S Amphlett Blvd",
"address_2": "Suite 115",
"address_purpose": "LOCATION",
"city": "San Mateo",
"state": "CA",
"postal_code": "944022517",
"country_code": "US",
"telephone_number": "650-319-8654",
"fax_number": "650-251-4999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ENARA HEALTH GROUP, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-23",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A",
"authorized_official_last_name": "BAILONY",
"authorized_official_first_name": "MOHAMMED",
"authorized_official_middle_name": "RAMI",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "619-807-2861",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RB0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2083B0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Enara Health Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Enara Health Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.