Individual provider Active NPI

Linden Batiste, PAC

  • Physician Assistant
  • Ontario, CA
National Provider Identifier
1255613451
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21378 Issued in CA
Practice address
403 W F St
Ontario, CA 91762-3207
Phone
(909) 988-3288
Fax
(909) 988-6767
NPI assigned
Sep 13, 2011
Last updated
Dec 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21378 CA Primary

Addresses

Primary practice location

403 W F St
Ontario, CA 91762-3207

Mailing address

PO Box 9172
Moreno Valley, CA 92552-9172

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151119002184 CA Practitioner - Physician Assistant 5597065714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA21378CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cure4Feet Podiatry Group Inc PastSince Oct 15, 2013 Accepting new patients

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, 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": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1255613451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9172",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925529172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W F ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623207",
            "telephone_number": "909-988-3288",
            "fax_number": "909-988-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATISTE",
        "first_name": "LINDEN",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.