MEDICARE: DR. FRED BAYON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	G69611	CA

General Provider Information

NPI Number	:	1225031362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRED BAYON M.D.

Provider Business Mailing Address
First Line	:	155 GLEN COVE MARINA RD E
Second Line	:	STE 100
City	:	VALLEJO
State	:	CA
Zip	:	94591-7284
Country	:	US
Telephone Number	:	707-558-8699
Fax Number	:	707-558-1864

Provider Business Practice Location Address
First Line	:	155 GLEN COVE MARINA RD E
Second Line	:	STE 100
City	:	VALLEJO
State	:	CA
Zip	:	94591-7284
Country	:	US
Telephone Number	:	707-558-8699
Fax Number	:	707-558-1864

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	12/30/2025

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