NPIMap

Individual provider Active NPI

Shuang Bai, M.D.

  • Internal Medicine Physician
  • San Bernardino, CA
National Provider Identifier
1154346799
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A68895 Issued in CA
Practice address
399 E Highland Ave
Suite 502
San Bernardino, CA 92404-3808
Phone
(909) 883-3838
NPI assigned
Jul 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A68895 CA Primary

Addresses

Primary practice location

399 E Highland Ave
Suite 502
San Bernardino, CA 92404-3808

Mailing address

399 E Highland Ave
Suite 502
San Bernardino, CA 92404-3808
Phone (909) 883-3838

Other identifiers 1

IdentifierTypeStateIssuer
00A688950MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061106000400 CA Practitioner - Internal Medicine 4082611090 Reassigns benefits to 2 organizations
Practice locations: San Bernardino, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

San Bernardino, CA 92408
Phone (840) 237-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue259

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Medical Corporation CurrentSince Apr 5, 2025 Accepting new patients
Dejun Wang M.D. Inc CurrentSince Apr 1, 2025 Accepting new patients
Shuang Bai, M.D. Inc. Internal Medicine Past Accepting new patients
Primary Care Medical Group of Inland Empire, Inc PastSince Apr 6, 2010 Accepting new patients
Adnan Misellati, M.D., Inc Past Accepting new patients
Neonatology Medical Group Inc Internal Medicine Past Accepting new patients

Locations

19115 Colima Rd
Unit 104
Rowland Heights, CA 91748
Phone (626) 810-2983

225 W Hospitality Ln
Ste 308
San Bernardino, CA 92408
Phone (840) 237-2700

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Redlands Healthcare CenterRedlands, CA, CCN 055001 Skilled nursing facility Contracted Managing Employee Mar 1, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154346799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 502",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-883-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 502",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-883-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAI",
        "first_name": "SHUANG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A68895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A688950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.