Active NPI
Benjamin Baker, MD
- Urology Physician
- San Diego, CA
National Provider Identifier
1104365188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- C196294
- Practice address
- 200 West Arbor Drive
Mail Code 7897
San Diego, CA 92103 - Phone
- (858) 657-7876
- NPI assigned
- Feb 23, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | C196294 | CA | Primary |
Addresses
Primary practice location
200 West Arbor Drive
Mail Code 7897
San Diego, CA 92103
Mailing address
200 West Arbor Drive
Mail Code 7897
San Diego, CA 92103
Other practice location 1
34800 Bob Wilson Dr
Department Of Urology
San Diego, CA 92134-0001
Phone (619) 532-6400
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 |
|---|---|---|---|
| C196294 | CA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1104365188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WEST ARBOR DRIVE",
"address_2": "MAIL CODE 7897",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEST ARBOR DRIVE",
"address_2": "MAIL CODE 7897",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92103",
"telephone_number": "858-657-7876"
}
],
"practiceLocations": [
{
"address_1": "34800 Bob Wilson Dr",
"address_2": "Department Of Urology",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921340001",
"country_code": "US",
"telephone_number": "619-532-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKER",
"first_name": "BENJAMIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-23",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "CA",
"license": "C196294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.