Cary Gresham Bayne, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

G48422 Issued in CA

Practice address

5030 Camino de la Siesta
Suite 208
San Diego, CA 92108-3117

Phone

(619) 260-6300

Fax

(619) 260-6313

NPI assigned

Jul 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mobile Medical Group

  • Geriatric Medicine (Family Medicine) Physician
  • San Diego, CA
  • NPI 1962413583
  NPD Authorized official
• Mobile Medical Group

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • San Diego, CA
  • NPI 1942447651
  NPD (past) Authorized official
• Caos, a Medical Corporation

  • Clinic/Center
  • San Diego, CA
  • NPI 1184021800
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1366463218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CAMINO DE LA SIESTA",
            "address_2": "SUITE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083117",
            "telephone_number": "619-260-6300",
            "fax_number": "619-260-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CAMINO DE LA SIESTA",
            "address_2": "SUITE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083117",
            "telephone_number": "619-260-6300",
            "fax_number": "619-260-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYNE",
        "first_name": "CARY",
        "middle_name": "GRESHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G48422",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G48422",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G48422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G484220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ61626Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "R059973A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher McCombs Baylis, RN
• Victoria Bayliss, PA-C
• Aldo Baylon
• Olivia Baylor
• Ian Victor Bayne-Campbell, IDC
• Rhett Austin Baynes
• Amber Bayona, LCSW
• Tosun Thomas Bayrak, D.C.
• Pamela Bayrouthy, RBT
• Bays Nursing Corporation

• All providers in San Diego, CA
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.