Organization Active NPI

Brian Bai Clinic, Inc

  • Family Medicine Physician
  • Oxnard, CA
National Provider Identifier
1679871875
Registry record updated Nov 8, 2024
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, INC
Practice address
331 S C St
Ste a.,
Oxnard, CA 93030-5824
Phone
(805) 247-1035
Fax
(805) 247-1038
NPI assigned
Mar 11, 2011
Last updated
Nov 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Brian C Bai, M.DNPI 1144424102
Title
President
Phone
(805) 485-7111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

331 S C St
Ste a.,
Oxnard, CA 93030-5824

Mailing address

331 S C St
Ste a.,
Oxnard, CA 93030-5824
Phone (805) 247-1035

Other identifiers 1

IdentifierTypeStateIssuer
7742839MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110802000069 CA Part B Supplier - Clinic/Group Practice 9436328887 Receives reassigned benefits from 1 practitioner
Practice locations: Oxnard, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2016534Brian Bai Clinic, Inc331 S C St Ste a, Oxnard, CA 93030Certificate of waiverNov 18, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1679871875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 S C ST",
            "address_2": "STE A.,",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930305824",
            "telephone_number": "805-247-1035",
            "fax_number": "805-247-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 S C ST",
            "address_2": "STE A.,",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930305824",
            "telephone_number": "805-247-1035",
            "fax_number": "805-247-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN BAI CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "BAI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-485-7111",
        "authorized_official_credential": "M.D"
    },
    "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": "7742839",
            "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 Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.