Active NPI
Bauback Safa
- Surgery of the Hand (Plastic Surgery) Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- A83763
- Practice address
- 45 Castro St
Suite 121
San Francisco, CA 94114-1010 - Phone
- (415) 565-6136
- Fax
- (415) 864-1654
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A83763 | CA | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | A83763 | CA | Primary |
Addresses
Primary practice location
45 Castro St
Suite 121
San Francisco, CA 94114-1010
Mailing address
45 Castro St
Suite,121
San Francisco, CA 94114-1010
Phone (415) 565-6136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A83763 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Stanford University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
45 Castro St
Suite 121
San Francisco, CA 94114-1019
Phone (415) 565-6136
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A83763 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buncke Medical Clinic Inc. | Current | Accepting new patients |
Locations
45 Castro St
Ste 121
San Francisco, CA 94114
Phone (415) 565-6136
Interoperability endpoints
- bsafa163248@hisp.ehr.sutterhealth.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- San Francisco, CA
- NPI 1750371571
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1093833980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 CASTRO ST",
"address_2": "SUITE,121",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141010",
"telephone_number": "415-565-6136",
"fax_number": "415-864-1654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 CASTRO ST",
"address_2": "SUITE 121",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941141010",
"telephone_number": "415-565-6136",
"fax_number": "415-864-1654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFA",
"first_name": "BAUBACK",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A83763",
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "CA",
"license": "A83763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A83763",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.