Individual provider Active NPI

Cara Beth Baker, MD

  • Anesthesiology Physician
  • West Covina, CA
National Provider Identifier
1063660462
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A111286 Issued in CA
Practice address
1115 S Sunset Ave
West Covina, CA 91790-3940
Phone
(626) 962-4011
Fax
(626) 859-5873
NPI assigned
Aug 28, 2008
Last updated
Sep 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A111286 CA Primary

Addresses

Primary practice location

1115 S Sunset Ave
West Covina, CA 91790-3940

Mailing address

PO Box 60790
Pasadena, CA 91116-6790
Phone (626) 795-6596

Other names 1

  • Dr. Cara Beth Tang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120821000994 CA Practitioner - Anesthesiology 4284881509 Reassigns benefits to 3 organizations
I20190813002503 IL Practitioner - Anesthesiology 4284881509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Georgetown University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simi Valley Anesthesia Medical GroupGroup PAC ID 2062454804, 26 clinicians

Practice addresses (Care Compare)

2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111286CAMDMarriage & Family Therapist
A111286CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Anesthesia Partners, LLC Anesthesiology CurrentSince Jul 2, 2019 Accepting new patients
Allied Anesthesia Associates, P.C. Anesthesiology CurrentSince Mar 12, 2021 Accepting new patients
Conejo Los Robles Anesthesiology Medical Group, Inc. Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
Pacific Valley Medical Group Anesthesiology CurrentSince Aug 10, 2015 Accepting new patients
Simi Valley Anesthesia Medical Group Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
Anesthesia Medical Group of Riverside, Inc Anesthesiology Past Accepting new patients

Locations

333 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 440-9161

1920 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 306-8800

2750 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 955-6000

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

550 Saint Charles Dr
Ste 101
Thousand Oaks, CA 91360
Phone (805) 557-7050

403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1063660462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60790",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911166790",
            "telephone_number": "626-795-6596",
            "fax_number": "626-795-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903940",
            "telephone_number": "626-962-4011",
            "fax_number": "626-859-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "CARA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A111286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "TANG",
            "middle_name": "BETH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.