Active NPI
Jose Jesus Baca II, M.D.
- Anesthesiology Physician
- El Paso, TX
National Provider Identifier
1083935167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- H-9187
- Practice address
- 602 Cincinnati Ave
El Paso, TX 79902-2615 - Phone
- (915) 474-7499
- Fax
- (915) 544-7499
- NPI assigned
- Jun 12, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | H-9187 | TX | Primary |
Addresses
Primary practice location
602 Cincinnati Ave
El Paso, TX 79902-2615
Mailing address
602 Cincinnati Ave
El Paso, TX 79902-2615
Phone (915) 474-7499
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H-9187 | TX | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1083935167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 CINCINNATI AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799022615",
"telephone_number": "915-474-7499",
"fax_number": "915-544-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 CINCINNATI AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799022615",
"telephone_number": "915-474-7499",
"fax_number": "915-544-7499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACA",
"first_name": "JOSE",
"middle_name": "JESUS",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-12",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "H-9187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.