Individual provider Active NPI

Michael Brandon Baule, DO

  • Family Medicine Physician
  • Los Gatos, CA
National Provider Identifier
1073928586
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A20460 Issued in CA
Practice address
15425 Los Gatos Blvd Ste 120
Los Gatos, CA 95032-2541
Phone
(408) 340-5700
Fax
(408) 358-3430
NPI assigned
Jun 23, 2014
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7280 NE
Family Medicine Physician 207Q00000X 20A20460 CA Primary

Addresses

Primary practice location

15425 Los Gatos Blvd Ste 120
Los Gatos, CA 95032-2541

Mailing address

15425 Los Gatos Blvd Ste 120
Los Gatos, CA 95032-2541
Phone (408) 340-5700

Other practice location 1

983075 Nebraska Medical Ctr
Omaha, NE 68198-3075
Phone (402) 559-5641

Other practice location 2

15425 Los Gatos Blvd Ste 120
Los Gatos, CA 95032-2541
Phone (408) 340-5700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbaule10151253@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171016002952 SD Practitioner - Family Practice 5496975377 Reassigns benefits to 1 organization
I20230323002789 CA Practitioner - Family Practice 5496975377 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

15425 Los Gatos Blvd
Suite 120
Los Gatos, CA 95032-2541
Phone (408) 340-5700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A20460CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Family Medicine Current Accepting new patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
Sanford Health Network CurrentSince Aug 28, 2017 Accepting new patients
Stanford Health Care CurrentSince Feb 7, 2024 Accepting new patients
Stanford Health Care Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Feb 6, 2023 Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Feb 6, 2023 Accepting new patients
Sanford Health Network CurrentSince Aug 28, 2017 Accepting new patients
Stanford Health Care CurrentSince Feb 7, 2024 Accepting new patients
University Healthcare Alliance CurrentSince Feb 7, 2024 Accepting new patients
Box Butte General Hospital Past Accepting new patients
Graceville Health Center Past Accepting new patients
Samaritan Family Practice Family Medicine PastSince Feb 7, 2024 Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Sanford Health Network Past Accepting new patients
Pine Medical Center Past Accepting new patients
Deer River Healthcare Center, Inc Past Accepting new patients
St. Marys Regional Health Center Past Accepting new patients
Affinity Medical Group Past Accepting new patients
Dakota Specialty Institute Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

15425 Los Gatos Blvd
Ste 120
Los Gatos, CA 95032
Phone (408) 340-5700

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

Interoperability endpoints

  • Direct secure messaging: mbaule10151253@direct.sanfordhealth.org
  • Direct secure messaging: mbaule444504@direct.stanfordhealthcare.org

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1073928586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15425 LOS GATOS BLVD STE 120",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322541",
            "telephone_number": "408-340-5700",
            "fax_number": "408-358-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15425 LOS GATOS BLVD STE 120",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322541",
            "telephone_number": "408-340-5700",
            "fax_number": "408-358-3430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "983075 Nebraska Medical Ctr",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681983075",
            "country_code": "US",
            "telephone_number": "402-559-5641",
            "fax_number": "402-559-6501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15425 Los Gatos Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950322541",
            "country_code": "US",
            "telephone_number": "408-340-5700",
            "fax_number": "408-358-3430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAULE",
        "first_name": "MICHAEL",
        "middle_name": "BRANDON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "7280",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A20460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbaule10151253@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "1245 Washington Ave",
            "city": "Detroit Lakes",
            "state": "MN",
            "country_code": "US",
            "postal_code": "565013905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.