Active NPI
Patricia M. Bauman, M.D.
- Internal Medicine Physician
- San Rafael, CA
National Provider Identifier
1710077482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G60849
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Novato Community Hospital
- Marinhealth Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- pbauman175441@hisp.ehr.sutterhealth.org
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Novato, CA
- NPI 1265461024
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.