R BAYATI MD PC NPI 1568679785

NPI Information

NPI: 1568679785
Provider Name: R BAYATI MD PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
5120 WARD LN
ROCKLIN, CA
ZIP 95677
Phone: (916) 626-4838
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R BAYATI MD PC is a clinic center in Rocklin, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). R BAYATI MD PC NPI is 1568679785. The provider is registered as an organization entity type.

The provider's business location address is:

5120 WARD LN
ROCKLIN, CA
ZIP 95677-842
Phone: (916) 626-4838
Fax: (916) 626-4837

The provider's authorized official is Reza Bayati .
The authorized official title is Director and has the following contact phone number (916) 626-4838.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty	C52426	CALIFORNIA	No
2	261Q00000X	Clinic/Center		4301066754	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	G63608	MEDICARE UPIN	MICHIGAN
2	4721670	MEDICAID	MICHIGAN
3	0N93130	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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