Individual provider Active NPI

Mary Lelia Baker, FNP-BC

  • Family Nurse Practitioner
  • Escondido, CA
National Provider Identifier
1669897963
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000403 Issued in CA
Practice address
120 N Ash St
Escondido, CA 92027-3058
Phone
(760) 385-3739
Fax
(888) 800-8226
NPI assigned
Feb 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Nurse Specialist 364S00000X 3907 CA
Family Nurse Practitioner 363LF0000X 95000403 CA Primary

Addresses

Primary practice location

120 N Ash St
Escondido, CA 92027-3058

Mailing address

2752 Abejorro St
Carlsbad, CA 92009-5803
Phone (760) 822-8264

Other practice location 1

3295 Meade Ave
San Diego, CA 92116-4557
Phone (760) 385-3739

Other practice location 2

1720 Termino Ave
Long Beach, CA 90804-2104
Phone (760) 385-3739

Other practice location 3

3256 Madison St
Carlsbad, CA 92008-3035
Phone (760) 385-3739

Other practice location 4

1410 N Garey Ave
Pomona, CA 91767-3810
Phone (760) 385-3739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3907CAMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Person Care Medical Group Inc. CurrentSince Oct 1, 2023 Accepting new patients
Whole Person Care Clinic CurrentSince May 28, 2023 Accepting new patients

Locations

3256 Madison St
Carlsbad, CA 92008
Phone (760) 385-3739

120 N Ash St
Escondido, CA 92027
Phone (760) 385-3739

1720 Termino Ave
Long Beach, CA 90804
Phone (562) 494-0631

1410 N Garey Ave
Pomona, CA 91767
Phone (760) 385-3739

3295 Meade Ave
San Diego, CA 92116
Phone (619) 493-0541

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1669897963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 ABEJORRO ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920095803",
            "telephone_number": "760-822-8264",
            "fax_number": "619-603-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N ASH ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920273058",
            "telephone_number": "760-385-3739",
            "fax_number": "888-800-8226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3295 Meade Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921164557",
            "country_code": "US",
            "telephone_number": "760-385-3739",
            "fax_number": "888-800-8226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Termino Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908042104",
            "country_code": "US",
            "telephone_number": "760-385-3739",
            "fax_number": "888-800-8226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3256 Madison St",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920083035",
            "country_code": "US",
            "telephone_number": "760-385-3739",
            "fax_number": "888-800-8226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 N Garey Ave",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673810",
            "country_code": "US",
            "telephone_number": "760-385-3739",
            "fax_number": "888-800-8226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MARY",
        "middle_name": "LELIA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-23",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "3907",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.