Active NPI
John Stewart Bailey, M.D.
- Anesthesiology Physician
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G81491
- Practice address
- 15825 Laguna Canyon Rd
Suite 200
Irvine, CA 92618-2127 - Phone
- (949) 341-3499
- Fax
- (949) 373-7290
- NPI assigned
- Jul 17, 2006
- Last updated
- Mar 23, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G81491 | CA | Primary |
Addresses
Primary practice location
15825 Laguna Canyon Rd
Suite 200
Irvine, CA 92618-2127
Mailing address
PO Box 5486
Orange, CA 92863-5486
Phone (818) 550-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G81491 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Anesthesiology | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients |
Locations
2602 Saint Michael Dr
Ste 301
Texarkana, TX 75503
Phone (903) 614-5258
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Organizations & group practices 2
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.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Anesthesiology
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1386662377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5486",
"city": "ORANGE",
"state": "CA",
"postal_code": "928635486",
"telephone_number": "818-550-0900",
"fax_number": "505-293-1524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15825 LAGUNA CANYON RD",
"address_2": "SUITE 200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182127",
"telephone_number": "949-341-3499",
"fax_number": "949-373-7290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "JOHN",
"middle_name": "STEWART",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G81491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.