Tate Baker, CMT, RYT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

9834 Issued in CA

Practice address

1792 W Washington St
San Diego, CA 92103-3766

Phone

(858) 688-4410

NPI assigned

Apr 11, 2018

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Be Wellness Group, Inc

  • Health Maintenance Organization
  • San Diego, CA
  • NPI 1376040600
  NPD (past) Authorized official

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1356848725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 BROADWAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021826",
            "telephone_number": "414-324-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 W WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033766",
            "telephone_number": "858-688-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "TATE",
        "credential": "CMT, RYT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "9834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Arnold Baker, M.D.
• Rusty Gene Baker, PHYSICIAN ASSISTANT
• Shannon Elizabeth Baker, ASW
• Stephen Isaac Baker
• Tanya E. Baker, NP
• Teauna Rashana Baker
• Thomas Anthony Baker
• Titus Luke Baker, IDC
• Travis L. Baker, DO
• Victoria Baker

• Massage Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.