Organization Active NPI

Ralph S Baker,O.D.Inc.

  • Optometrist
  • Roseville, CA
National Provider Identifier
1659492262
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RALPH S BAKER,O.D.INC.
Practice address
531 Oak St
Suite 2
Roseville, CA 95678-2615
Phone
(916) 783-8131
Fax
(916) 783-3465
NPI assigned
Apr 2, 2007
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Ralph Simon Baker, OD
Title
Optometrist
Phone
(916) 783-8131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

531 Oak St
Suite 2
Roseville, CA 95678-2615

Mailing address

531 Oak St Ste 2
Roseville, CA 95678-2615
Phone (916) 783-8131

Other identifiers 1

IdentifierTypeStateIssuer
SD0086620MedicaidCA

National Provider Directory

National Provider Directory

Locations

531 Oak St
Ste 2
Roseville, CA 95678
Phone (916) 761-8635

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1659492262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 OAK ST STE 2",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782615",
            "telephone_number": "916-783-8131",
            "fax_number": "916-783-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 OAK ST",
            "address_2": "SUITE 2",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782615",
            "telephone_number": "916-783-8131",
            "fax_number": "916-783-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH S BAKER,O.D.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "916-783-8131",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0086620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.