Individual provider Active NPI

Bauback Safa

  • Surgery of the Hand (Plastic Surgery) Physician
  • San Francisco, CA
National Provider Identifier
1093833980
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
A83763 Issued in CA
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A83763OtherCAMEDICAL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090902000316 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 6204981939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Stanford University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buncke Medical Clinic Inc.Group PAC ID 4183524408, 6 clinicians

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A83763CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buncke Medical Clinic Inc. CurrentSince Jun 2, 2009 Accepting new patients

Locations

45 Castro St
Ste 121
San Francisco, CA 94114
Phone (415) 565-6136

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.