Emma V. Torres-Baltazar, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00021191 Issued in WA

Practice address

606 SE Roake St. / Avenue
Castle Rock Medical Clinic
Castle Rock, WA 98611

Phone

(360) 274-4179

Fax

(360) 274-8970

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emma V Torres-Baltazar Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1619901592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "CASTLE ROCK",
            "state": "WA",
            "postal_code": "986110010",
            "telephone_number": "360-274-4179",
            "fax_number": "360-274-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 SE ROAKE ST. / AVENUE",
            "address_2": "CASTLE ROCK MEDICAL CLINIC",
            "city": "CASTLE ROCK",
            "state": "WA",
            "postal_code": "98611",
            "telephone_number": "360-274-4179",
            "fax_number": "360-274-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES-BALTAZAR",
        "first_name": "EMMA",
        "middle_name": "V.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00021191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1219906",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "TORRES-BALTAZAR",
            "middle_name": "V",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Sanchez, SUDP
• Merry Gail Scott, RN
• Beverly M Search, ARNP
• Heather Kristine Temple, CDP
• Kyra Thomas, ATC
• Chuan Ching Tu
• Renee Amelia Walden, ARNP
• Marvin James Waletich, RPH
• Scott Wambold, LMT
• Lacey Wise, PT

• Family Medicine Physician in Castle Rock, WA
• Providers in Castle Rock, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.