Individual provider Active NPI

Wei W Bao, M.D.

  • Internal Medicine Physician
  • City of Industry, CA
National Provider Identifier
1437199304
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A66842 Issued in CA
Practice address
17595 Almahurst St
City of Industry, CA 91748-1779
Phone
(626) 581-4990
Fax
(626) 581-4011
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A66842 CA Primary

Addresses

Primary practice location

17595 Almahurst St
City of Industry, CA 91748-1779

Mailing address

17595 Almahurst St
Ste 202
City of Industry, CA 91748-1799
Phone (626) 581-4990

Other identifiers 1

IdentifierTypeStateIssuer
00A668420MedicaidCA

Other names 1

  • William W Bao Other name

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
I20110511000428 CA Practitioner - Internal Medicine 5890971717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17595 Almahurst St
Suite 202
City of Industry, CA 91748-1799
Phone (626) 581-4990

Hospital & facility affiliations

  • Happy Home Health Services Home health agency, Arcadia, CA, CCN 059173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66842CAMDPharmacist
A66842CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Bao, MD Inc Internal Medicine CurrentSince Feb 20, 2011 Accepting new patients

Locations

17595 Almahurst St
Ste 202
City of Industry, CA 91748
Phone (626) 581-4990

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: wei.bao@1016842863050756.direct.elationemr.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1437199304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17595 ALMAHURST ST",
            "address_2": "STE 202",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481799",
            "telephone_number": "626-581-4990",
            "fax_number": "626-581-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17595 ALMAHURST ST",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481779",
            "telephone_number": "626-581-4990",
            "fax_number": "626-581-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAO",
        "first_name": "WEI",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A668420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "BAO",
            "middle_name": "W",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in City of Industry, CA

Sources for this page

Verify at the official NPI Registry.