Maria Concepcion Medina Baggao, NURSE PRACTIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95005073 Issued in CA

Practice address

200 N la Cumbre Rd Ste E
Santa Barbara, CA 93110-2587

Phone

(805) 687-1505

NPI assigned

Feb 7, 2017

Last updated

Sep 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maria Concepcion Medina Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: maria.baggao@524991641878532.direct.elationemr.com

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1174061410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N. LA CUMBRE RD",
            "address_2": "STE M",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93110",
            "telephone_number": "805-324-4399",
            "fax_number": "805-770-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N LA CUMBRE RD STE E",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931102587",
            "telephone_number": "805-687-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGGAO",
        "first_name": "MARIA CONCEPCION",
        "middle_name": "MEDINA",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95005073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTIONER LICENSE",
            "identifier": "95005073",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA CONCEPCION",
            "last_name": "MEDINA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeanette Baer, PA-C
• Daliah Baertschi
• Mellisa Baez
• Paula Ann Bagalio, MSN
• Leonida Bagaw
• Kathleen M Baggarley, MFT
• Lara Baggio
• Devon Baggs, APCC
• Nancy Bagshaw, SLP
• Paymon Bahrami, D.D.S.

• Nurse Practitioner in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.