Organization Active NPI

M Hugh Bailey MD Facs PC Inc

  • Medical Specialty Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1295234789
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A48435 Issued in CA
Legal business name
M HUGH BAILEY MD FACS PC INC
Practice address
351 Hospital Rd Ste 617
Newport Beach, CA 92663-3508
Phone
(949) 650-6710
Fax
(949) 650-6713
NPI assigned
Feb 9, 2018
Last updated
Oct 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Authorized official

Name
Martin Hugh Bailey, MDNPI 1124062294
Title
President
Phone
(949) 650-6710

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
Medical Specialty Clinic/Center 261QM2500X A48435 CA Primary

Addresses

Primary practice location

351 Hospital Rd Ste 617
Newport Beach, CA 92663-3508

Mailing address

351 Hospital Rd Ste 617
Newport Beach, CA 92663-3508
Phone (949) 650-6710

Other identifiers 1

IdentifierTypeStateIssuer
A48435OtherCAMEDICAL BOARD OF CALIFORNIA LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180417001554 CA Part B Supplier - Clinic/Group Practice 7113280561 Receives reassigned benefits from 1 practitioner
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

351 Hospital Rd
Ste 617
Newport Beach, CA 92663
Phone (949) 650-6710

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1295234789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD STE 617",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633508",
            "telephone_number": "949-650-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD STE 617",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633508",
            "telephone_number": "949-650-6710",
            "fax_number": "949-650-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M HUGH BAILEY MD FACS PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-650-6710",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A48435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA LICENSE NUMBER",
            "identifier": "A48435",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.