Individual provider Active NPI

Angeles Baquerizo

  • Transplant Surgery Physician
  • La Jolla, CA
National Provider Identifier
1053425330
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
A79395 Issued in CA
Practice address
10666 N Torrey Pines Rd # 200N
La Jolla, CA 92037-1027
Phone
(858) 544-4310
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A79395 CA
Transplant Surgery Physician 204F00000X A79395 CA Primary

Addresses

Primary practice location

10666 N Torrey Pines Rd # 200N
La Jolla, CA 92037-1027

Mailing address

10666 N. Torrey Pines Rd., 200 N,
La Jolla, CA 92037
Phone (858) 544-4310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 W Arbor Dr
SCSD Medical Group MC 8201
San Diego, CA 92103-9001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A79395CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health CurrentSince Apr 1, 2014 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Apr 1, 2014 Accepting new patients

Locations

10666 N Torrey Pines Rd
#200N
La Jolla, CA 92037
Phone (858) 544-4310

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

Interoperability endpoints

  • Direct secure messaging: abaquerizo19592@scrippshlth.medalliesdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1053425330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10666 N. TORREY PINES RD., 200 N,",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-544-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10666 N TORREY PINES RD # 200N",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371027",
            "telephone_number": "858-544-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAQUERIZO",
        "first_name": "ANGELES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A79395",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "CA",
            "license": "A79395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.