Active NPI
Baltazar Pulido, LCSW
- Clinical Social Worker
- Stockton, CA
National Provider Identifier
1457762767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 133913
- Practice address
- 944 N Stockton St
Stockton, CA 95203-2213 - Phone
- (408) 577-7221
- NPI assigned
- May 8, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 133913 | CA | Primary |
Addresses
Primary practice location
944 N Stockton St
Stockton, CA 95203-2213
Mailing address
944 N Stockton St
Stockton, CA 95203-2213
Phone (408) 577-7221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133913 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1457762767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 N STOCKTON ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952032213",
"telephone_number": "408-577-7221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 N STOCKTON ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952032213",
"telephone_number": "408-577-7221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULIDO",
"first_name": "BALTAZAR",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-08",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "133913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.