Jordan Baca

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

146 N Twin Oaks Valley Rd Unit 103
San Marcos, CA 92069-3413

Phone

(702) 561-9263

NPI assigned

Oct 1, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1184442840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 N TWIN OAKS VALLEY RD UNIT 103",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 N TWIN OAKS VALLEY RD UNIT 103",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693413",
            "telephone_number": "702-561-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACA",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonardo Ayala
• Mariela Ayon
• Ali Azin
• Ashley Azin, MA, MS, LMFT
• Babak Shahrokh DMD Inc
• Theresa Hoang Thuy Bach, PHARMD.
• Denver Brendan-Carter Baer
• Adrian Masanga Bagamasbad, PHARM.D.
• Ann E Bailey, D.C.
• James Garrett Bailey, DPT

• Independent Duty Corpsman in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.