Active NPI
Eldridge Darell Batuyong, MD
- Orthopaedic Surgery Physician
- Redwood City, CA
National Provider Identifier
1639427321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A122469
- Practice address
- 450 Broadway St
Mailcode 6342
Redwood City, CA 94063-3132 - Phone
- (650) 863-8302
- NPI assigned
- Aug 28, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A122469 | CA | Primary |
Addresses
Primary practice location
450 Broadway St
Mailcode 6342
Redwood City, CA 94063-3132
Mailing address
3033 La Selva Street
Apartment 104
San Mateo, CA 94403
Phone (650) 863-8302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A122469 | CA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1639427321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 LA SELVA STREET",
"address_2": "APARTMENT 104",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94403",
"telephone_number": "650-863-8302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BROADWAY ST",
"address_2": "MAILCODE 6342",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940633132",
"telephone_number": "650-863-8302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATUYONG",
"first_name": "ELDRIDGE",
"middle_name": "DARELL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A122469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.