Active NPI
Ahmad Bailony MD Inc
- Pediatrics Physician
- National City, CA
National Provider Identifier
1962891440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A108665
- Legal business name
- AHMAD BAILONY MD INC
- Practice address
- 655 Euclid Ave Ste 205
National City, CA 91950-2967 - Phone
- (619) 470-1945
- Fax
- (619) 475-5048
- NPI assigned
- Jan 21, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ahmad L Bailony, M.D.
- Title
- Ceo
- Phone
- (619) 470-1945
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A108665 | CA | Primary |
Addresses
Primary practice location
655 Euclid Ave Ste 205
National City, CA 91950-2967
Mailing address
655 Euclid Ave Ste 205
National City, CA 91950-2967
Phone (619) 470-1945
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A108665 | Medicaid | CA | |
| A34406 | Medicaid | CA |
Other names 1
- Bailony Pediatrics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2092668 | Bailony Pediatrics | Certificate of waiver | Mar 9, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- National City, CA
- NPI 1376625913
-
- Pediatrics Physician
- National City, CA
- NPI 1790914422
-
- Nurse Practitioner
- Chula Vista, CA
- NPI 1770124927
-
- Nurse Practitioner
- National City, CA
- NPI 1467158857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637625600000",
"number": "1962891440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 EUCLID AVE STE 205",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502967",
"telephone_number": "619-470-1945",
"fax_number": "619-475-5048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 EUCLID AVE STE 205",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502967",
"telephone_number": "619-470-1945",
"fax_number": "619-475-5048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHMAD BAILONY MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-21",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A",
"authorized_official_last_name": "BAILONY",
"authorized_official_first_name": "AHMAD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "619-470-1945",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "A108665",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A108665",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A34406",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bailony Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.