Active NPI
Andre Baker
- Addiction (Substance Use Disorder) Counselor
- Los Angeles, CA
National Provider Identifier
1780053538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 168271
- Practice address
- 1730 W Olympic Blvd # 3a-300
Los Angeles, CA 90015-1019 - Phone
- (213) 249-9388
- Fax
- (213) 389-7993
- NPI assigned
- Sep 23, 2015
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 168271 | CA | Primary |
Addresses
Primary practice location
1730 W Olympic Blvd # 3a-300
Los Angeles, CA 90015-1019
Mailing address
1730 West Olympic Boulevared, 3a-300
Los Angeles, CA 90015
Phone (213) 249-9388
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168271 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1780053538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 WEST OLYMPIC BOULEVARED, 3A-300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90015",
"telephone_number": "213-249-9388",
"fax_number": "213-389-7993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 W OLYMPIC BLVD # 3A-300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900151019",
"telephone_number": "213-249-9388",
"fax_number": "213-389-7993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "ANDRE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-23",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "168271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.