Darryl A Bates, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

EC081067 Issued in ME

Practice address

9333 Genesee Ave Ste 200
La Jolla Family and Sports Medicine
San Diego, CA 92121-2113

Phone

(858) 657-8525

NPI assigned

Jul 14, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Beach Physical Medicine PC

  • General Practice Physician
  • Long Beach, CA
  • NPI 1356053508
  NPD

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1376707901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8575 GIBBS DR STE 202",
            "address_2": "UCSD MEDICAL GROUP, MAIL CODE 8201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231773",
            "telephone_number": "619-543-1899",
            "fax_number": "619-543-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 GENESEE AVE STE 200",
            "address_2": "LA JOLLA FAMILY AND SPORTS MEDICINE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212113",
            "telephone_number": "858-657-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "DARRYL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "EC081067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433017499",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Baten-Quiche
• Erin Batenburg
• Kathleen Batenga, RDHAP
• Angel Ray Bates
• Catherine Elizabeth Bates, ATC
• Dina Magdeldin Bates, MD
• Douglas J Bates, M.D.
• Elana Bates
• Giorgia Rose Bates
• James Eric Bates, M.D.

• Family Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.