Active NPI
James A Bakerink, M.D.
- Pediatrics Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 8328
- Practice address
- 4785 S Durango Dr
Ste 101
Las Vegas, NV 89147-8166 - Phone
- (702) 889-8444
- Fax
- (702) 889-8454
- NPI assigned
- Sep 20, 2006
- Last updated
- Aug 3, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 8328 | NV | Primary |
Addresses
Primary practice location
4785 S Durango Dr
Ste 101
Las Vegas, NV 89147-8166
Mailing address
4785 S Durango Dr
Ste 101
Las Vegas, NV 89147-8166
Phone (702) 889-8444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003102917 | Medicaid | NV | |
| 002019917 | Medicaid | NV |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8328 | NV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wee Care UC, LLC | Pediatrics | Current | Accepting new patients |
| Spring Valley Medical Center | Past | Accepting new patients | |
| Southern Hills Medical Center, LLC | Past | Accepting new patients | |
| Wee Care Pediatrics | Pediatrics | Past | Accepting new patients |
| Sunrise Hospital and Medical Center, LLC | Past | Accepting new patients | |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients | |
| Summerlin Hospital Medical Center L L C | Past | Accepting new patients |
Locations
10170 S Eastern Ave
Ste 160
Henderson, NV 89052
Phone (702) 550-2273
4785 S Durango Dr
Ste 101
Las Vegas, NV 89147
Phone (702) 889-8444
Organizations & group practices 7
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.
-
dba Over the Rainbow-Pediatric Urgent Care
- Pediatrics Physician
- Henderson, NV
- NPI 1710559943
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1518181841
-
dba Southern Hills Hospital & Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1457306359
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1346230323
-
dba Summerlin Hospital Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831189638
-
dba Sunrise Hospital and Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1689611774
-
dba Mountainview Hospital
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831143817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1689772808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4785 S DURANGO DR",
"address_2": "STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891478166",
"telephone_number": "702-889-8444",
"fax_number": "702-889-8454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4785 S DURANGO DR",
"address_2": "STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891478166",
"telephone_number": "702-889-8444",
"fax_number": "702-889-8454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKERINK",
"first_name": "JAMES",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "8328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003102917",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002019917",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.