Organization Active NPI

James Bailey MD Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Santa Barbara, CA
National Provider Identifier
1144917162
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
JAMES BAILEY MD INC
Practice address
2936 De la Vina St
Santa Barbara, CA 93105-3354
Phone
(805) 963-2729
NPI assigned
Apr 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
James Bailey, MDNPI 1366602088
Title
President
Phone
(703) 795-7076

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

2936 De la Vina St
Santa Barbara, CA 93105-3354

Mailing address

2936 De la Vina St
Santa Barbara, CA 93105-3354
Phone (805) 963-2729

Other identifiers 1

IdentifierTypeStateIssuer
C182613OtherCASTATE LICENSE

Other names 2

  • JAMES BAILEY MD LLC Former legal business name
  • Moonlighting Management LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230614001032 CA Part B Supplier - Clinic/Group Practice 9830557461 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Barbara, CA

National Provider Directory

National Provider Directory

Locations

2936 De la Vina St
Santa Barbara, CA 93105
Phone (805) 963-2729

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1144917162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053354",
            "telephone_number": "805-963-2729",
            "fax_number": "805-963-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053354",
            "telephone_number": "805-963-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES BAILEY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-795-7076",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C182613",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAMES BAILEY MD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Moonlighting Management LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.

Verify at the official NPI Registry.