Bayside Urology Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BAYSIDE UROLOGY MEDICAL GROUP INC

Practice address

450 4TH Ave
Ste 303
Chula Vista, CA 91910-4429

Phone

(619) 420-0201

Fax

(619) 425-7795

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Daniel B. Hunting, M.D.

Title

Owner

Phone

(619) 420-0201

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1164536579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 4TH AVE",
            "address_2": "STE 303",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104429",
            "telephone_number": "619-420-0201",
            "fax_number": "619-425-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 4TH AVE",
            "address_2": "STE 303",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104429",
            "telephone_number": "619-420-0201",
            "fax_number": "619-425-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE UROLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "HUNTING",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-420-0201",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C371780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nasser Bayati, M.D.
• Kimberly Bayliss
• Fe Baylon
• Anthony Suan Baysa, ANTHONY BAYSA
• Bayside Healthcare, Inc.
• Sandra Baza
• Amy L Beacham, P.T.
• Charles A Beal
• Debbie Jennette Bean, BA
• Jacqueline Beas

• All providers in Chula Vista, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.