Organization Active NPI

Henry I Baylis MD a Prof Corp

  • Plastic and Reconstructive Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1386971372
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
C25406 Issued in CA
Legal business name
HENRY I BAYLIS MD A PROF CORP
Practice address
1401 Avocado Ave
# 605
Newport Beach, CA 92660-7720
Phone
(949) 760-0700
Fax
(949) 760-9017
NPI assigned
Nov 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Dr. Henry I Baylis, MD
Title
President
Phone
(949) 760-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X C25406 CA Primary

Addresses

Primary practice location

1401 Avocado Ave
# 605
Newport Beach, CA 92660-7720

Mailing address

1401 Avocado Ave
# 605
Newport Beach, CA 92660-7720
Phone (949) 760-0700

National Provider Directory

National Provider Directory

Locations

1401 Avocado Ave
Ste 605
Newport Beach, CA 92660
Phone (949) 760-0700

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1386971372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE",
            "address_2": "# 605",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607720",
            "telephone_number": "949-760-0700",
            "fax_number": "949-760-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE",
            "address_2": "# 605",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607720",
            "telephone_number": "949-760-0700",
            "fax_number": "949-760-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY I BAYLIS MD A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "BAYLIS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-760-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "C25406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.