Active NPI
Jeannette Marie Baker, D.C.
- Chiropractor
- San Pedro, CA
National Provider Identifier
1124181268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CA29865
- Practice address
- 1901 N. Gaffey St. Ste. a
San Pedro, CA 90731 - Phone
- (562) 833-9206
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29865 | CA | |
| Chiropractor | 111N00000X | CA29865 | CA | Primary |
Addresses
Primary practice location
1901 N. Gaffey St. Ste. a
San Pedro, CA 90731
Mailing address
1901 N. Gaffey St. Ste. a
San Pedro, CA 90731
Phone (626) 443-4626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220503001306 | CA | Practitioner - Chiropractic | 8820485246 | Practice locations: San Pedro, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
829 W 9TH St
San Pedro, CA 90731-3603
Phone (562) 833-9206
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA29865 | CA | MD | Chiropractor |
| DC29865 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker Chiropractic | Current | Accepting new patients | |
| Miceli Chiropractic Center,Inc | Past | Accepting new patients |
Locations
1901 N Gaffey St
Ste A
San Pedro, CA 90731
Phone (562) 833-9206
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- San Pedro, CA
- NPI 1396442588
-
- Physical Therapy Clinic/Center
- Montebello, CA
- NPI 1861907230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1124181268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 N. GAFFEY ST. STE. A",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "90731",
"telephone_number": "626-443-4626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N. GAFFEY ST. STE. A",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "90731",
"telephone_number": "562-833-9206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "JEANNETTE",
"middle_name": "MARIE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29865",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "CA29865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.