Provider Demographics
NPI:1760625735
Name:BAYSA, ANTHONY SUAN (ANTHONY BAYSA)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:SUAN
Last Name:BAYSA
Suffix:
Gender:M
Credentials:ANTHONY BAYSA
Other - Prefix:MR
Other - First Name:ANTHONY
Other - Middle Name:SUAN
Other - Last Name:BAYSA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ANTHONY BAYSA RN
Mailing Address - Street 1:1813 SHEEP RANCH LOOP
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-1659
Mailing Address - Country:US
Mailing Address - Phone:619-370-2799
Mailing Address - Fax:
Practice Address - Street 1:1813 SHEEP RANCH LOOP
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-1659
Practice Address - Country:US
Practice Address - Phone:619-370-2799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA574651163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine