ETHAN BAILEY
NPI 1861281123
Student in an Organized Health Care Education/Training Program in Pleasanton, CA

Active since May 03, 2025
4473 WILLOW RD STE 220, PLEASANTON, CA 94588(925) 416-3407 Get Directions Write a Review

NPPES record last updated: September 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ethan Bailey NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN BAILEY (NPI 1861281123) is an individual student in an organized health care education/training program in Pleasanton, California and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1861281123
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN BAILEY
Location Address4473 WILLOW RD STE 220Pleasanton, CA 94588-8580
Mailing Address4256 Hacienda Dr Ste 100Pleasanton, CA 94588-8595 · (925) 264-6510
Sole ProprietorNo
Enumeration DateMay 3, 2025
Last NPPES UpdateSeptember 28, 2025
NPPES CertifiedSeptember 28, 2025
NPI 1861281123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4473 WILLOW RD STE 220, Pleasanton, CA 94588

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4473 WILLOW RD STE 220
PLEASANTON, CA 94588
Family Medicine
4473 WILLOW RD STE 220
PLEASANTON, CA 94588
Student in an Organized Health Care Education/Training Program
4473 WILLOW RD STE 220
PLEASANTON, CA 94588
Student in an Organized Health Care Education/Training Program
4473 WILLOW RD STE 220
PLEASANTON, CA 94588
Student in an Organized Health Care Education/Training Program
4473 WILLOW RD STE 220
PLEASANTON, CA 94588
Student in an Organized Health Care Education/Training Program
4473 WILLOW RD STE 220
PLEASANTON, CA 94588
Family Medicine
4473 WILLOW RD STE 220
PLEASANTON, CA 94588
Student in an Organized Health Care Education/Training Program
4473 WILLOW RD STE 220
PLEASANTON, CA 94588

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Bailey's NPI number?

The NPI number for Ethan Bailey is 1861281123. It was assigned to this individual provider in the NPPES registry on May 3, 2025.

Where is Ethan Bailey located?

Ethan Bailey practices at 4473 Willow Rd Ste 220, Pleasanton, CA 94588. The listed phone number is (925) 416-3407.

What is Ethan Bailey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Bailey was last updated on September 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.