Victoria M Baca

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2301 7TH St Ste a
Las Vegas, NM 87701-4966

Phone

(505) 454-9611

Fax

(505) 454-8079

NPI assigned

Nov 1, 2019

Last updated

Nov 1, 2019By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Rio Grande Alcoholism Treatment Center Incorporated

  dba Rio Grande Alcoholism Treatment Program, Inc.

  • Substance Abuse Rehabilitation Facility
  • Taos, NM
  • NPI 1194924928
  NPD

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1487298568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 7TH ST STE A",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014966",
            "telephone_number": "505-454-9611",
            "fax_number": "505-454-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 7TH ST STE A",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014966",
            "telephone_number": "505-454-9611",
            "fax_number": "505-454-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACA",
        "first_name": "VICTORIA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83774556",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://riograndeatp.org/",
            "affiliation": "N",
            "address_1": "2301 7th St Ste A",
            "city": "Las Vegas",
            "state": "NM",
            "country_code": "US",
            "postal_code": "877014966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elias M Baca, BMS
• Georgia Baca
• Jonelle Baca, CSW
• Nakia Baca, BMS
• Pamela M Baca, DDS
• Ilana Lucia Bachicha, APRN, FNP-BC
• Melissa Badachi
• Dale Glen Bagley, PT
• Paul W. Bagwell Jr., PSYD
• Balanced Health Acupuncture Center, LLC (Balanced Health Acpuncture Center, LLC)

• Case Manager/Care Coordinator in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Case Manager/Care Coordinator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.