Jared Samuel Baptist

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11836 Issued in CA

Practice address

34590 County Line Rd Ste 7
Yucaipa, CA 92399-5398

Phone

(909) 795-4255

Fax

(909) 795-4438

NPI assigned

Mar 27, 2019

Last updated

Mar 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1033670419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34590 COUNTY LINE RD STE 7",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923995398",
            "telephone_number": "909-795-4255",
            "fax_number": "909-795-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34590 COUNTY LINE RD STE 7",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923995398",
            "telephone_number": "909-795-4255",
            "fax_number": "909-795-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAPTIST",
        "first_name": "JARED",
        "middle_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "11836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ann Baker, L.M.
• Rebecca Ann Baldwin, AGPCNP-C
• Joyce I Bandele
• Andrew Banes
• Mary Margret Bangcawayan
• Mayra Nohemy Barahona, SLP
• Paola Barba
• Dishawna Marie Barnard, LM, CPM
• Jessica Monique Baro
• Vanessa Baro

• Speech-Language Pathologist in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.