NPIMap

Individual provider Active NPI

Michael Baello, MSN, APRN, FNP

  • Family Nurse Practitioner
  • Ontario, CA
National Provider Identifier
1124661913
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013102 Issued in CA
Practice address
3065 E Oak Knoll Loop
Ontario, CA 91761-3872
Phone
(909) 635-8558
NPI assigned
Oct 23, 2019
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95013102 CA Primary

Addresses

Primary practice location

3065 E Oak Knoll Loop
Ontario, CA 91761-3872

Mailing address

3065 E Oak Knoll Loop
Ontario, CA 91761-3872
Phone (909) 635-8558

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95013102CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aleracare Medical Group of California, a Medical Corporation Past Accepting new patients
Aleracare Medical Group of California, a Medical Corporation Past Accepting new patients
Aleracare Medical Group of California, a Medical Corporation Past Accepting new patients
Aleracare Medical Group of California, a Medical Corporation Past Accepting new patients
Aleracare Medical Group of California, a Medical Corporation Past Accepting new patients
Aleracare Medical Group of California, a Medical Corporation Past Accepting new patients
Aleracare Medical Group of California, a Medical Corporation Past Accepting new patients

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1124661913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 E OAK KNOLL LOOP",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917613872",
            "telephone_number": "909-635-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 E OAK KNOLL LOOP",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917613872",
            "telephone_number": "909-635-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAELLO",
        "first_name": "MICHAEL",
        "credential": "MSN, APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.