Individual provider Active NPI

Serena Nicole Baker

  • Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1538897947
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95015730 Issued in CA
Practice address
27708 Jefferson Ave Ste 201
Temecula, CA 92590-2641
Phone
(951) 696-7587
NPI assigned
Aug 12, 2022
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95015730 CA Primary

Addresses

Primary practice location

27708 Jefferson Ave Ste 201
Temecula, CA 92590-2641

Mailing address

30166 Trois Valley St
Murrieta, CA 92563-1807
Phone (941) 928-9064

Other practice location 1

10890 Thornmint Rd
San Diego, CA 92127-2402
Phone (855) 757-8400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221230001841 CA Practitioner - Nurse Practitioner 9739559097 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Urgent Care NetworkGroup PAC ID 7315284130, 15 clinicians
Emergency Physicians Urgent Care IncGroup PAC ID 8527234418, 138 clinicians

Practice addresses (Care Compare)

31571 Canyon Estates Dr
Suite 100
Lake Elsinore, CA 92532-0471
Phone (951) 397-4214

36290 Hidden Springs Rd
Suite Dande
Wildomar, CA 92595-5802
Phone (951) 483-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Urgent Care Inc. CurrentSince Apr 4, 2024 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Apr 4, 2024 Accepting new patients
BL Anderson Medical Corporation CurrentSince Feb 11, 2024 Accepting new patients
A Plus Walk in Urgent Care PastSince Mar 16, 2026 Accepting new patients
Emergency Physicians Urgent Care Inc. PastSince Nov 20, 2022 Accepting new patients

Locations

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

2251 Mount Vernon Ave
Bakersfield, CA 93306
Phone (661) 624-0404

2400 K St
Bakersfield, CA 93301
Phone (661) 885-9909

4040 California Ave
Bakersfield, CA 93309
Phone (661) 336-2050

4871 White Ln
Bakersfield, CA 93309
Phone (661) 832-1679

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

761 W Shaw Ave
Clovis, CA 93612
Phone (559) 549-3234

32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

24799 Alicia Pkwy
Laguna Hills, CA 92653
Phone (949) 652-2515

28110 Clinton Keith Rd
Murrieta, CA 92563
Phone (661) 885-6060

10890 Thornmint Rd
San Diego, CA 92127
Phone (619) 407-8545

10890 Thornmint Rd
Ste 202
San Diego, CA 92127
Phone (855) 745-8400

29400 Rancho California Rd
Temecula, CA 92591
Phone (951) 595-8282

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

36290 Hidden Springs Rd
Ste De
Wildomar, CA 92595
Phone (951) 483-2020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: serena.baker.1@19859.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1538897947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30166 TROIS VALLEY ST",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631807",
            "telephone_number": "941-928-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27708 JEFFERSON AVE STE 201",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902641",
            "telephone_number": "951-696-7587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10890 Thornmint Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921272402",
            "country_code": "US",
            "telephone_number": "855-757-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "SERENA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.