Individual provider Active NPI

William P Baugh, M. D.

  • Dermatology Physician
  • Fullerton, CA
National Provider Identifier
1891725602
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G77769 Issued in CA
Practice address
333 W Bastanchury Rd
Suite 110
Fullerton, CA 92835-3420
Phone
(714) 879-4312
Fax
(714) 879-2154
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G77769 CA Primary

Addresses

Primary practice location

333 W Bastanchury Rd
Suite 110
Fullerton, CA 92835-3420

Mailing address

333 W Bastanchury Rd
Suite 110
Fullerton, CA 92835-3420
Phone (714) 879-4312

Other identifiers 1

IdentifierTypeStateIssuer
00G777690MedicaidCA

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
I20060928000305 CA Practitioner - Dermatology 1456356377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Loma Linda University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 W Bastanchury Rd
Suite 1a
Fullerton, CA 92835-2527
Phone (714) 879-4312

Merit-based Incentive Payment System (MIPS)

Final score
73.9 of 100Reported as individual
Quality
66.19
Promoting interoperability
75
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision90
Removal of tissue1-10
Removal of skin lesions2198
Removal of skin cancer117
Removal or shaving of skin growth432
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G77769CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William P Baugh MD Inc Dermatology CurrentSince Aug 5, 2002 Accepting new patients

Locations

111 W Bastanchury Rd
Ste 1A
Fullerton, CA 92835
Phone (714) 773-4111

333 W Bastanchury Rd
Ste 110
Fullerton, CA 92835
Phone (714) 310-1145

301 W Bastanchury Rd
Ste 220
Fullerton, CA 92835
Phone (714) 446-7454

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891725602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W BASTANCHURY RD",
            "address_2": "SUITE 110",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353420",
            "telephone_number": "714-879-4312",
            "fax_number": "714-879-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W BASTANCHURY RD",
            "address_2": "SUITE 110",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353420",
            "telephone_number": "714-879-4312",
            "fax_number": "714-879-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "WILLIAM",
        "middle_name": "P",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G77769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G777690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.