Organization Active NPI

Ahmad Bailony MD Inc

  • Pediatrics Physician
  • National City, CA
National Provider Identifier
1962891440
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A108665 Issued in CA
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

Updated by the provider on Nov 23, 2021

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.NPI 1790914422
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
A108665MedicaidCA
A34406MedicaidCA

Other names 1

  • Bailony Pediatrics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190404002703 CA Part B Supplier - Clinic/Group Practice 9436490299 Receives reassigned benefits from 1 practitioner
Practice locations: National City, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2092668Bailony Pediatrics655 Euclid Ave Ste 205, National City, CA 91950Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.