Organization Active NPI

Susan a Baker MD Inc

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1194056895
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A80550 Issued in CA
Legal business name
SUSAN A BAKER MD INC
Practice address
436 N Bedford Dr
Suite 211
Beverly Hills, CA 90210-4310
Phone
(310) 274-7770
Fax
(310) 274-7775
NPI assigned
Jan 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Susan A Baker, M.D.
Title
President
Phone
(310) 274-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A80550 CA Primary

Addresses

Primary practice location

436 N Bedford Dr
Suite 211
Beverly Hills, CA 90210-4310

Mailing address

436 N Bedford Dr
Suite 211
Beverly Hills, CA 90210-4310
Phone (310) 274-7770

National Provider Directory

National Provider Directory

Locations

436 N Bedford Dr
Ste 211
Beverly Hills, CA 90210
Phone (310) 274-7770

354 N Bedford Dr
#211
Beverly Hills, CA 90210
Phone (310) 274-7770

1301 20th St
Ste 530
Santa Monica, CA 90404
Phone (310) 274-7770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1194056895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "SUITE 211",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-274-7770",
            "fax_number": "310-274-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "SUITE 211",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-274-7770",
            "fax_number": "310-274-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN A BAKER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-274-7770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A80550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.