Provider Demographics
NPI:1669475158
Name:OCHOA-BAYONA, JOSE LEONEL (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:LEONEL
Last Name:OCHOA-BAYONA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 TREAT BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-2168
Mailing Address - Country:US
Mailing Address - Phone:925-952-2828
Mailing Address - Fax:813-745-8468
Practice Address - Street 1:177 LA CASA VIA STE 390
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-6101
Practice Address - Country:US
Practice Address - Phone:925-677-5041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC171204207RH0003X
FLME99608207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL01242OtherBLUE CROSS BLUE SHIELD OF FLORIDA
FL279372500Medicaid
TX164629102Medicaid
TX164629102Medicaid
FL279372500Medicaid
TXI04128Medicare UPIN