Ray Bayati MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C52426 Issued in CA

Legal business name

RAY BAYATI MD PC

Practice address

1 Medical Plaza Dr
Wound Care Clinic
Roseville, CA 95661-3037

Phone

(916) 781-1386

Fax

(916) 781-1456

NPI assigned

Jan 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Reza Bayati, MD

Title

Director

Phone

(916) 626-4838

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1366680282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 WARD LN",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772842",
            "telephone_number": "916-500-2474",
            "fax_number": "916-626-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA DR",
            "address_2": "WOUND CARE CLINIC",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613037",
            "telephone_number": "916-781-1386",
            "fax_number": "916-781-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY BAYATI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "BAYATI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-626-4838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C52426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nimrta Rathor, CFO
• Aleksandr Z Ratner, RN
• Amit Rawal
• Stuart Lamar Rawlings, M.S.W.
• Danielle Karina Maria Rawlinson
• Mackenzie Ray
• Sharon Ray
• Raymond J Mikelionis MD Inc
• Mark Clayton Raymond
• Teresa Marie Raynal, RD

• Internal Medicine Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.