Mark Allen Baker, D.P.T., O.C.S.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 14488 Issued in CA

Practice address

1335 W Cypress Ave
Suite 100
San Dimas, CA 91773-3516

Phone

(909) 305-1383

Fax

(909) 305-1435

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covina Hills Sports Medicine IncGroup PAC ID 9335102300, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Covina Hills Sports Medicine Inc

  • Physical Therapist
  • San Dimas, CA
  • NPI 1154369213
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1750382925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917730099",
            "telephone_number": "909-305-1383",
            "fax_number": "909-305-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 W CYPRESS AVE",
            "address_2": "SUITE 100",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733516",
            "telephone_number": "909-305-1383",
            "fax_number": "909-305-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "D.P.T., O.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 14488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "094711",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "21123014675",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH AND CCN",
            "identifier": "827415",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAN GABRIEL REGIONAL CENT",
            "identifier": "PP3950",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ01897Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004140895",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "912124601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leon Bachoura, M.D.
• Norma E Bachoura, M.D.
• Yousef Bahdi, RPH
• Mariam Baim
• Udhamgurjot Singh Bajwa, M.D.
• Jorge Relucio Balares III, D.C.
• Cindy Rico Baldelomar
• Annamarie Isabella Banuelos
• Veronica Barajas
• Herminia Barbosa

• Physical Therapist in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.