Gina Marie Baccari, C.C.P.,S.A.-C.,LSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA00526 Issued in TX

Practice address

3463 Magic Dr
Suite T21
San Antonio, TX 78229-2973

Phone

(210) 614-8101

Fax

(210) 614-8102

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• San Antonio Assisting Services, LLC

  • Specialist
  • San Antonio, TX
  • NPI 1043469323
  NPD Authorized official
• San Antonio Assisting Services, LLC

  • Surgical Physician Assistant
  • San Antonio, TX
  • NPI 1598115248
  NPD Authorized official
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1124166467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 MANOR HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571107",
            "telephone_number": "210-698-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3463 MAGIC DR",
            "address_2": "SUITE T21",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292973",
            "telephone_number": "210-614-8101",
            "fax_number": "210-614-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCARI",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "C.C.P.,S.A.-C.,LSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00526",
            "primary": true
        },
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "TX",
            "license": "FPF00000207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Taryn Baca-Zurbaran
• Edna Baca, LPC
• Lori Baca, SLP
• Roberto Baca
• Wendy Baca, MD
• Bacel Nseir MD LLC
• Henry Maxwell Bacher, M.D.
• Briana Bachicha
• Adelaide Lee Bachle, PA
• Stella Bachoon

• Surgical Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.