Individual provider Active NPI

Philip E Baily, M.D.

  • Occupational Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1932223252
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
C41547 Issued in CA
Practice address
6033 W Century Blvd Ste 200
Los Angeles, CA 90045-6440
Phone
(310) 215-1600
Fax
(310) 215-0783
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X C41547 CA Primary

Addresses

Primary practice location

6033 W Century Blvd Ste 200
Los Angeles, CA 90045-6440

Mailing address

819A El Redondo Ave
Redondo Beach, CA 90277-3112
Phone (310) 465-9240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41547CAMDGeneral Practice Dentistry
C41547CAMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1932223252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819A EL REDONDO AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773112",
            "telephone_number": "310-465-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 W CENTURY BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900456440",
            "telephone_number": "310-215-1600",
            "fax_number": "310-215-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILY",
        "first_name": "PHILIP",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "C41547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.