Individual provider Active NPI

Mohammed T Bailony, MD

  • Pediatrics Physician
  • National City, CA
National Provider Identifier
1376625913
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A34406 Issued in CA
Practice address
655 Euclid Ave Ste 205
National City, CA 91950-2967
Phone
(619) 470-1945
Fax
(619) 475-5048
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A34406 CA Primary

Addresses

Primary practice location

655 Euclid Ave Ste 205
National City, CA 91950-2967

Mailing address

655 Euclid Ave Ste 205
National City, CA 91950-2967
Phone (619) 470-1945

Other identifiers 1

IdentifierTypeStateIssuer
00A344060MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110729000493 CA Practitioner - Family Practice 6507034956 Reassigns benefits to 1 organization
Practice locations: National City, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

655 Euclid Ave
Suite 205
National City, CA 91950-2967
Phone (619) 470-1945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A34406CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Ahmad Bailony MD Inc Pediatrics CurrentSince Aug 25, 2021 Accepting new patients
Paradise Valley Hospital Past Accepting new patients
Scripps Health Past Accepting new patients
Regents of the University of California Past Accepting new patients
Fairmount Medical Clinic Pediatrics PastSince Jun 10, 2005 Accepting new patients
Rady Children's Hospital San Diego Past Accepting new patients

Locations

655 Euclid Ave
Ste 205
National City, CA 91950
Phone (619) 470-1945

Interoperability endpoints

  • Direct secure messaging: mbailony80786@scrippshlth.medalliesdirect.net

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1376625913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 205",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502967",
            "telephone_number": "619-470-1945",
            "fax_number": "619-475-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 205",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502967",
            "telephone_number": "619-470-1945",
            "fax_number": "619-475-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILONY",
        "first_name": "MOHAMMED",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A34406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A344060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.