Natalie Bailey, DDS
Individual provider Active NPI Dentist · Coronado, CA
NPI 1962997643 · NPPES record last updated Nov 11, 2021
Key facts
- NPI
- 1962997643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 102831 (CA)
- Practice address
- 1010 8TH St Ste a
Coronado, CA 92118 - Phone
- (619) 435-4444
- NPI assigned
- Jun 26, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200408001795 | CA | Practitioner - Dentist | 7911336219 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc. | Current |
Accepting new patients | |
| Suzanne M. M. Popp, DDS, Inc | Dentist | Current | Accepting new patients |
| Family Health Centers of San Diego, Inc | Current |
Accepting new patients |
Locations
1010 8th St
Ste A
Coronado, CA 92118
Phone (619) 435-4444
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 102831 | CA | Yes |
Addresses
Primary practice location
1010 8TH St Ste a
Coronado, CA 92118
Mailing address
1010 8TH St Ste a
Coronado, CA 92118-2189
Phone (619) 435-4444
Other providers in Coronado, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.