Organization Active NPI

Brian Bai Clinic

  • Family Medicine Physician
  • Oxnard, CA
National Provider Identifier
1487984670
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A101489 Issued in CA
Legal business name
BRIAN BAI CLINIC
Practice address
1200 N Ventura Rd Ste a
Oxnard, CA 93030-3827
Phone
(805) 485-7111
Fax
(805) 485-7110
NPI assigned
Jan 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Tamara L Cassellius
Title
Credentialing
Phone
(805) 482-7260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A101489 CA Primary

Addresses

Primary practice location

1200 N Ventura Rd Ste a
Oxnard, CA 93030-3827

Mailing address

1200 N Ventura Rd Ste a
Oxnard, CA 93030-3827
Phone (805) 485-7111

Other identifiers 1

IdentifierTypeStateIssuer
1144424102MedicaidCA

National Provider Directory

National Provider Directory

Locations

331 S C St
Ste B
Oxnard, CA 93030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1487984670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N VENTURA RD STE A",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303827",
            "telephone_number": "805-485-7111",
            "fax_number": "805-485-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N VENTURA RD STE A",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303827",
            "telephone_number": "805-485-7111",
            "fax_number": "805-485-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN BAI CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "CASSELLIUS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "805-482-7260"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A101489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144424102",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.