Individual provider Active NPI

Robert Baker, P.A.

  • Surgical Physician Assistant
  • Rancho Mirage, CA
National Provider Identifier
1568425239
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA16997 Issued in CA
Practice address
72057 Highway 111
Rancho Mirage, CA 92270-4927
Phone
(760) 346-7191
Fax
(760) 346-7905
NPI assigned
Apr 11, 2006
Last updated
Sep 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA16997 CA Primary

Addresses

Primary practice location

72057 Highway 111
Rancho Mirage, CA 92270-4927

Mailing address

72057 Highway 111
Rancho Mirage, CA 92270-4927
Phone (760) 346-7191

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
I20031211001007 CA Practitioner - Physician Assistant 2365348034 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
16997CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Neurology PC CurrentSince Oct 17, 2022 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Oct 1, 2003 Accepting new patients
General Vascular Surgery Medical Group, Inc. CurrentSince Oct 1, 2003 Accepting new patients
Nurick Surgical Institute Inc CurrentSince Apr 19, 2004 Accepting new patients
Cypress Coast Cardiac Surgeons Medical Group Inc Past Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients
California Wound Health PC Past Accepting new patients
Sonotec Advanced Imaging Inc Past Accepting new patients
Specialty Urgent Care, LP PastSince Aug 30, 2010 Accepting new patients

Locations

7111 Indiana Ave
Ste 100
Riverside, CA 92504
Phone (951) 276-9012

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1920/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1568425239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72057 HIGHWAY 111",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704927",
            "telephone_number": "760-346-7191",
            "fax_number": "760-346-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72057 HIGHWAY 111",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704927",
            "telephone_number": "760-346-7191",
            "fax_number": "760-346-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ROBERT",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA16997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.