Active NPI
Thomas Baker, PA-C
- Medical Physician Assistant
- North Hills, CA
National Provider Identifier
1003220682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 15823
- Practice address
- 15343 Parthenia St
North Hills, CA 91343-5105 - Phone
- (818) 514-8181
- Fax
- (818) 514-8180
- NPI assigned
- Jun 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 15823 | CA | Primary |
Addresses
Primary practice location
15343 Parthenia St
North Hills, CA 91343-5105
Mailing address
3117 La Casa CT
Thousand Oaks, CA 91362-4912
Phone (818) 514-8181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 15823 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1003220682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3117 LA CASA CT",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913624912",
"telephone_number": "818-514-8181",
"fax_number": "818-514-8180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15343 PARTHENIA ST",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913435105",
"telephone_number": "818-514-8181",
"fax_number": "818-514-8180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "THOMAS",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-11",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA 15823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.