Lois Corina Baeta, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP17099 Issued in CA

Practice address

100 Hospital Dr
Vallejo, CA 94589-2580

Phone

(707) 427-4900

Fax

(707) 551-3617

NPI assigned

Jan 26, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1760620983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 LOW CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945349771",
            "telephone_number": "707-428-2731",
            "fax_number": "707-428-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892580",
            "telephone_number": "707-427-4900",
            "fax_number": "707-551-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAETA",
        "first_name": "LOIS",
        "middle_name": "CORINA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN650838",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP17099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellis Chan Back, DDS
• Kristine Bade
• Teresita Bucsit Badua-Larsen
• Ji Sun Baek, M.D.
• Julie Baeta, RD
• Ixayan Baez
• Shabnam Bahaduri, PA
• Liliana Bahena
• Karla Bailey
• Jaspreet Bains

• Nurse Practitioner in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.