Peggy Bain, DVM, MPH, DACVPM

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

19157 Issued in CA

Practice address

49620 Beluga Rd
BLDG 194, RM 111
San Diego, CA 92152-6505

Phone

(619) 553-1869

Fax

(619) 553-6295

NPI assigned

Oct 24, 2016

Last updated

Oct 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1699226712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53560 HULL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921525001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49620 BELUGA RD",
            "address_2": "BLDG 194, RM 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921526505",
            "telephone_number": "619-553-1869",
            "fax_number": "619-553-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "PEGGY",
        "name_prefix": "Dr.",
        "credential": "DVM, MPH, DACVPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "CA",
            "license": "19157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERINARY LICENSE",
            "identifier": "19157",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Richard Bailey, D.O.
• Jessica Ruth Bailis, PSY.D.
• Jason Bailly, PHARM D.
• Oscar Guzman Bailon
• Natalie Nicole Bain, MD
• Lauren Alison Bainbridge, SLP
• David James Bainer, D,D,S,
• Phillip John Bains, IDC
• Sikander Bains, M.D.
• Gisele Adelaide Bair

• Military Health Care Provider in San Diego, CA
• Providers in San Diego, CA by specialty
• Military Health Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.