Active NPI
Barbara Lee Bailey, M.D.
- Internal Medicine Physician
- San Luis Obispo, CA
National Provider Identifier
1184984825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G61082
- Practice address
- 129 Broad St
San Luis Obispo, CA 93405-1707 - Phone
- (805) 801-8830
- NPI assigned
- May 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G61082 | CA | Primary |
Addresses
Primary practice location
129 Broad St
San Luis Obispo, CA 93405-1707
Mailing address
2103 Harrison Ave NW
#2-876
Olympia, WA 98502-2636
Phone (805) 801-8830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G61082 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338163200000",
"number": "1184984825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 HARRISON AVE NW",
"address_2": "#2-876",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985022636",
"telephone_number": "805-801-8830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 BROAD ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934051707",
"telephone_number": "805-801-8830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "BARBARA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-28",
"last_updated": "2012-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G61082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.