Provider Demographics
NPI:1508879750
Name:BAYO INC
Entity Type:Organization
Organization Name:BAYO INC
Other - Org Name:JUST X-RAYS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLO
Authorized Official - Middle Name:
Authorized Official - Last Name:BABA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-272-2727
Mailing Address - Street 1:244 N JACKSON AVE
Mailing Address - Street 2:STE 110
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1604
Mailing Address - Country:US
Mailing Address - Phone:408-272-2727
Mailing Address - Fax:408-272-2077
Practice Address - Street 1:244 N JACKSON AVE
Practice Address - Street 2:STE 110
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1604
Practice Address - Country:US
Practice Address - Phone:408-272-2727
Practice Address - Fax:408-272-2077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Not Answered2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAIDTF00270Medicaid
ZZZ25409ZMedicare ID - Type Unspecified
ZZZ25409ZMedicare UPIN