Individual provider Active NPI

Dominic Baiocco, DPT

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1285152736
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293369 Issued in CA
Practice address
4205 San Felipe Rd Ste 100
San Jose, CA 95135-1546
Phone
(408) 238-1552
NPI assigned
Sep 5, 2017
Last updated
Dec 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 293369 CA Primary

Addresses

Primary practice location

4205 San Felipe Rd Ste 100
San Jose, CA 95135-1546

Mailing address

4205 San Felipe Rd Ste 100
San Jose, CA 95135-1546

Other practice location 1

68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171012002010 CA Practitioner - Physical Therapist in Private Practice 9234404518 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Bear Physical Therapy Sports Injury Center IncGroup PAC ID 2961423082, 85 clinicians

Practice addresses (Care Compare)

1916 N Main St
Salinas, CA 93906-2034
Phone (831) 276-0560

Merit-based Incentive Payment System (MIPS)

Final score
67.73 of 100Reported as group
Quality
41.21
Improvement activities
40
Cost
83.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
293369CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Creek Fitness and Physical Therapy Physical Therapist CurrentSince Sep 1, 2017 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jan 3, 2019 Accepting new patients
Golden Bear Physical Therapy Sports Injury Center, Inc Physical Therapist CurrentSince Apr 25, 2022 Accepting new patients

Locations

68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630

1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946

5600 Mowry School Rd
Ste 305
Newark, CA 94560
Phone (510) 651-9258

1586 Constitution Blvd
Salinas, CA 93905
Phone (831) 276-0565

1916 N Main St
Salinas, CA 93906
Phone (209) 508-9573

121 Bernal Rd
San Jose, CA 95119
Phone (408) 227-2141

4205 San Felipe Rd
Ste 100
San Jose, CA 95135
Phone (408) 238-1552

Organizations & group practices 3

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": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1285152736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 SAN FELIPE RD STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 SAN FELIPE RD STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351546",
            "telephone_number": "408-238-1552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIOCCO",
        "first_name": "DOMINIC",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-05",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.