Individual provider Active NPI

Patricia M. Bauman, M.D.

  • Internal Medicine Physician
  • San Rafael, CA
National Provider Identifier
1710077482
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G60849 Issued in CA
Practice address
750 Las Gallinas Ave
Suite #206
San Rafael, CA 94903-3438
Phone
(415) 472-5733
Fax
(415) 472-5743
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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 G60849 CA Primary

Addresses

Primary practice location

750 Las Gallinas Ave
Suite #206
San Rafael, CA 94903-3438

Mailing address

750 Las Gallinas Ave Ste 219
San Rafael, CA 94903-3432
Phone (415) 472-5733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308001405 CA Practitioner - Internal Medicine 7719875095 Practice locations: San Rafael, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

750 Las Gallinas Ave
Suite 219
San Rafael, CA 94903-3432
Phone (415) 472-5733

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Novato, CA, CCN 057031
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131
  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: pbauman175441@hisp.ehr.sutterhealth.org

Hospital & facility affiliations 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1710077482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 LAS GALLINAS AVE STE 219",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033432",
            "telephone_number": "415-472-5733",
            "fax_number": "415-472-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 LAS GALLINAS AVE",
            "address_2": "SUITE #206",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033438",
            "telephone_number": "415-472-5733",
            "fax_number": "415-472-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "PATRICIA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G60849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.