Active NPI
Gary Ronald Baker, H. AID DISPENSER
- Hearing Instrument Specialist
- Modesto, CA
National Provider Identifier
1093847733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 207
- Practice address
- 1150 W Orangeburg Ave
Modesto, CA 95350-4042 - Phone
- (209) 526-9883
- Fax
- (209) 526-8681
- NPI assigned
- Mar 9, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 207 | CA | Primary |
| Technician/Technologist | 156F00000X | SL1875 | CA | |
| Contact Lens Technician/Technologist | 156FC0800X | CL325 | CA |
Addresses
Primary practice location
1150 W Orangeburg Ave
Modesto, CA 95350-4042
Mailing address
1150 W Orangeburg Ave
Modesto, CA 95350-4042
Phone (209) 526-9883
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SL1875 | Other | CA | REGISTERED SPECTACLE LENS DISPENSER |
| ZZZ71978Z | Medicaid | CA | |
| #207 | Other | CA | HEARING AID DISPENSER |
| CL325 | Other | CA | REGISTERED CONTACT LENS DISPENSER |
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 |
|---|---|---|---|
| SL1875 | CA | MD | Technician/Technologist |
| CL325 | CA | MD | Contact Lens Technician/Technologist |
| 207 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1093847733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 W ORANGEBURG AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504042",
"telephone_number": "209-526-9883",
"fax_number": "209-526-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 W ORANGEBURG AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504042",
"telephone_number": "209-526-9883",
"fax_number": "209-526-8681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "GARY",
"middle_name": "RONALD",
"name_prefix": "Mr.",
"credential": "H. AID DISPENSER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "207",
"primary": true
},
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "CA",
"license": "SL1875",
"primary": false
},
{
"code": "156FC0800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens",
"state": "CA",
"license": "CL325",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED SPECTACLE LENS DISPENSER",
"identifier": "SL1875",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ71978Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARING AID DISPENSER",
"identifier": "#207",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED CONTACT LENS DISPENSER",
"identifier": "CL325",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.