Healthcare Provider Details

I. General information

NPI: 1316301179
Provider Name (Legal Business Name): JOSEPH BAYNE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2016
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 MISSION BAY BLVD S
SAN FRANCISCO CA
94143-2156
US

IV. Provider business mailing address

35 MEDICAL CENTER WAY # 1
SAN FRANCISCO CA
94143-2200
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2873
  • Fax:
Mailing address:
  • Phone: 510-364-0579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0002X
TaxonomyAdult Congenital Heart Disease Physician
License NumberA162041
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: