MEDICARE: MICHAEL D BAUGUESS PA

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	363A00000X	Physician Assistant	13235	CA

General Provider Information

NPI Number	:	1912986647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL D BAUGUESS PA

Provider Business Mailing Address
First Line	:	PO BOX AD
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95992-1396
Country	:	US
Telephone Number	:	530-751-3769
Fax Number	:	530-751-1237

Provider Business Practice Location Address
First Line	:	2800 LINCOLN BLVD.
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95966-5961
Country	:	US
Telephone Number	:	530-534-7500
Fax Number	:	530-534-0210

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

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	12/19/2011

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Directions to “ MICHAEL D BAUGUESS PA” Practice Location

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