NPIMap

Organization Active NPI

Bacay-Aruiza Medical Associates Inc

Doing business as Bacay Medical Associates

  • Internal Medicine Physician
  • Manteca, CA
National Provider Identifier
1760459416
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BACAY-ARUIZA MEDICAL ASSOCIATES INC
Doing business as
Bacay Medical Associates
Practice address
1140 Norman Dr
Suite 103
Manteca, CA 95336-5900
Phone
(209) 825-6331
Fax
(209) 825-6351
NPI assigned
Mar 1, 2006
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Deanna Golding
Title
Practice Manager
Phone
(209) 824-8419

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Primary Care Clinic/Center 261QP2300X A51759 CA
Primary Care Clinic/Center 261QP2300X A76551 CA
Primary Care Clinic/Center 261QP2300X NP16223 CA

Addresses

Primary practice location

1140 Norman Dr
Suite 103
Manteca, CA 95336-5900

Mailing address

1140 Norman Dr
Suite 103
Manteca, CA 95336-5900
Phone (209) 825-6331

Other names 1

  • BACAY MEDICAL ASSOCIATES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051222000551 CA Part B Supplier - Clinic/Group Practice 6608898267 Receives reassigned benefits from 3 practitioners
Practice locations: Manteca, CA

National Provider Directory

National Provider Directory

Locations

1140 Norman Dr
Ste 103
Manteca, CA 95336
Phone (209) 824-8419

Practitioners & affiliated clinicians

Practitioners 3

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": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1760459416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 NORMAN DR",
            "address_2": "SUITE 103",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365900",
            "telephone_number": "209-825-6331",
            "fax_number": "209-825-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 NORMAN DR",
            "address_2": "SUITE 103",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365900",
            "telephone_number": "209-825-6331",
            "fax_number": "209-825-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACAY-ARUIZA MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "GOLDING",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "209-824-8419"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A51759",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A76551",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "NP16223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BACAY MEDICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.