Christina Blanca Bacher, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9115410 Issued in FL

Practice address

1222 SE 12TH Way
Fort Lauderdale, FL 33316-2102

Phone

(407) 506-5436

NPI assigned

Nov 28, 2016

Sex

Female

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)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1407399215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 SE 12TH WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162102",
            "telephone_number": "407-506-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 SE 12TH WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162102",
            "telephone_number": "407-506-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHER",
        "first_name": "CHRISTINA",
        "middle_name": "BLANCA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabir Mohan Babbar I, D.O.
• Peter Leon Babinski, MD PHD
• Zahira Babwani, DO
• Victoria Lujan Baca Villagomez, LMHC
• Sandiya Mala Bachan
• Back in Action
• Back to Health LLC
• Back to Mind Ft Lauderdale LLC
• Backtomind H
• Rafael J. Baez-Bonilla, M.D.

• Physician Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.