Active NPI
Alexis Mae Bayudan
- Internal Medicine Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2017019563
- Practice address
- 513 Parnassus Ave RM S-357
San Francisco, CA 94143-2205 - Phone
- (415) 347-6314
- NPI assigned
- Jun 22, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2017019563 | MO | Primary |
Addresses
Primary practice location
513 Parnassus Ave RM S-357
San Francisco, CA 94143-2205
Mailing address
660 South Euclid Avenue
Department of Medicine, Box 8121
Saint Louis, MO 63110
Phone (314) 362-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017019563 | Other | MO | MISSOURI BOARD OF REGISTRATION FOR THE HEALING ARTS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2331 Montpelier Dr
Suite B
San Jose, CA 95116-1673
Phone (408) 347-9001
Hospital & facility affiliations
- El Camino Health
- Santa Clara Valley Medical Center
- Good Samaritan Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 198 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 155 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Jose Gastroenterology, Inc. | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Internal Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients |
Locations
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
231 Oconnor Dr
San Jose, CA 95128
Phone (408) 213-3937
2331 Montpelier Dr
Ste B
San Jose, CA 95116
Phone (408) 347-9001
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- abayudan209395@santaclaravalley.direct-ci.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 and National Provider Directory roles.
-
- Gastroenterology Physician
- San Jose, CA
- NPI 1578586731
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1629301346
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1043354020
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Federally Qualified Health Center (FQHC)
- Gilroy, CA
- NPI 1922093533
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1437103777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590883200000",
"number": "1467972158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 SOUTH EUCLID AVENUE",
"address_2": "DEPARTMENT OF MEDICINE, BOX 8121",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63110",
"telephone_number": "314-362-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 PARNASSUS AVE RM S-357",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432205",
"telephone_number": "415-347-6314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYUDAN",
"first_name": "ALEXIS",
"middle_name": "MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-22",
"last_updated": "2020-05-31",
"certification_date": "2020-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2017019563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI BOARD OF REGISTRATION FOR THE HEALING ARTS",
"identifier": "2017019563",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.