Jerome Aristotle Garces Baldonado, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22754 Issued in CA

Practice address

576 E El Camino Real
Sunnyvale, CA 94087-1940

Phone

(408) 739-4620

NPI assigned

Mar 17, 2013

Last updated

Oct 8, 2013By the provider in NPPES

Sex

Male

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

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

State licenses

Practice roles

Locations

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.

• Lumira Healthcare

  dba Livingston Campus Center

  • Federally Qualified Health Center (FQHC)
  • Livingston, CA
  • NPI 1427110329
  Medicare reassignment NPD
• Minuteclinic Diagnostic Medical Group of California Inc

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1033309372
  Medicare reassignment NPD
• Lumira Healthcare

  dba Hilmar Health Center

  • Federally Qualified Health Center (FQHC)
  • Hilmar, CA
  • NPI 1124300207
  NPD
• Lumira Healthcare

  dba Modesto Florida Ave Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1649099151
  NPD

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

{
    "created_epoch": "1363478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1316289358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 E EL CAMINO REAL",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871940",
            "telephone_number": "408-739-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 E EL CAMINO REAL",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871940",
            "telephone_number": "408-739-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDONADO",
        "first_name": "JEROME ARISTOTLE",
        "middle_name": "GARCES",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-17",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bai Beauty & Wellness
• Stuart A Bair, MD
• Sunita Bajaj, D.D.S
• Luz Nana Baladad, DMD
• Claire Kathleen Baldal
• Nanette S Baltazar, SLP
• Kyong S Bang, L.AC
• Michael Banh, AMFT, APCC
• Fang Bao, CCC-SLP
• Barnett Physical Therapy Services, Inc

• Family Nurse Practitioner in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.