NPIMap

Individual provider Active NPI

Bernard Songco Bacay, MD

  • Internal Medicine Physician
  • Manteca, CA
National Provider Identifier
1629094032
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A76551 Issued in CA
Practice address
1140 Norman Dr
Ste 103
Manteca, CA 95336-5900
Phone
(209) 825-6331
Fax
(209) 825-6351
NPI assigned
Jul 15, 2006
Last updated
Jan 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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 A76551 CA Primary

Addresses

Primary practice location

1140 Norman Dr
Ste 103
Manteca, CA 95336-5900

Mailing address

1140 Norman Dr
Ste 103
Manteca, CA 95336-5900
Phone (209) 825-6331

Other identifiers 1

IdentifierTypeStateIssuer
GR0099130MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061128000538 CA Practitioner - Internal Medicine 6204834302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bacay-Aruiza Medical Associates IncGroup PAC ID 6608898267, 3 clinicians
Navarro HealthGroup PAC ID 7911415633, 2 clinicians

Practice addresses (Care Compare)

1140 Norman Dr
Suite 103
Manteca, CA 95336-5900
Phone (209) 825-6331

341 Vinal Dr
Manteca, CA 95337-7868
Phone (209) 621-2415

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A76551CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bacay-Aruiza Medical Associates Inc Internal Medicine CurrentSince Jan 1, 2003 Accepting new patients
Navarro Health CurrentSince Jun 28, 2025 Accepting new patients
Pacific Wound Center Medical Group, Inc. Internal Medicine Past Accepting new patients
Doctors Hospital of Manteca, Inc. PastSince Jan 1, 2003 Accepting new patients

Locations

1140 Norman Dr
Ste 103
Manteca, CA 95336
Phone (209) 824-8419

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bbacay55502@hpmg.direct-ci.net

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1629094032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 NORMAN DR",
            "address_2": "STE 103",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365900",
            "telephone_number": "209-825-6331",
            "fax_number": "209-825-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 NORMAN DR",
            "address_2": "STE 103",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365900",
            "telephone_number": "209-825-6331",
            "fax_number": "209-825-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACAY",
        "first_name": "BERNARD",
        "middle_name": "SONGCO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0099130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.