Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ethan Bailey

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861281123

Ethan Bailey is a Student in an Organized Health Care Education/Training Program in Pleasanton, California. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

4473 Willow Rd Ste 220
Pleasanton, CA 94588-8580
Phone: (925) 416-3407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1861281123
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2025
Last updated in NPPESSeptember 28, 2025
Certification dateSeptember 28, 2025
Mailing address4256 Hacienda Dr Ste 100, Pleasanton, CA 94588-8595

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