Bayne, Cary Gresham

Bayne, Cary Gresham is an individual health care provider with primary practice located at 5030 Camino De La Siesta Suite 208, San Diego CA 92108-3117. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Bayne, Cary Gresham can be contacted via phone (619) 260-6300.

Contact Information

Primary practice address
5030 Camino De La Siesta Suite 208 San Diego CA 92108-3117
Phone: (619) 260-6300
Fax: (619) 260-6313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G48422 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G48422 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X G48422 California

Profile Details

NPI number 1366463218
LBN Legal business name Bayne, Cary Gresham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Dec 20th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366463218 NPPES
California MEDICAID 00G484220
California Other ZZZ61626Z
California Other R059973A

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