Physician Compare National (NPI:1679599070)

HEALTHCARE PROVIDER: MARIA ISABEL BACAY MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1679599070
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6406878065
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081008000248
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BACAY
	Individual professional last name
Provider First Name	MARIA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BACAY ARUIZA MEDICAL ASSOCIATES INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6608898267
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1140 NORMAN DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	MANTECA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	953365900
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2098256331
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050118
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DOCTORS HOSPITAL OF MANTECA
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y