Individual provider · Type 1 NPI

Tyson Gabriel Baynes, PA-C

Surgical Physician Assistant · Santa Clara, CA

NPI number 1114299781 Active

Practice location

900 Lafayette St Ste 105
Santa Clara, CA 95050-4966

Call (408) 293-7767 Map

Fax (408) 300-9663

Mailing address

PO Box 31396
Walnut Creek, CA 94598-8396

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X52496 (CA)
Physician Assistant 363A00000XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1114299781

Tyson Gabriel Baynes, PA-C's National Provider Identifier is 1114299781, issued on Jan 30, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Santa Clara, CA. The record was last updated on Sep 19, 2024.