Individual provider Active NPI

Gary Ronald Baker, H. AID DISPENSER

  • Hearing Instrument Specialist
  • Modesto, CA
National Provider Identifier
1093847733
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
207 Issued in CA
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

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SL1875OtherCAREGISTERED SPECTACLE LENS DISPENSER
ZZZ71978ZMedicaidCA
#207OtherCAHEARING AID DISPENSER
CL325OtherCAREGISTERED 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

LicenseStateTypeSpecialty
SL1875CAMDTechnician/Technologist
CL325CAMDContact Lens Technician/Technologist
207CAMDOccupational 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.

Verify at the official NPI Registry.