Individual provider Active NPI

Helen A. Baczkowski, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1780395897
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95021259 Issued in CA
Practice address
16466 Bernardo Center Dr Ste 150
San Diego, CA 92128-2522
Phone
(858) 571-3630
NPI assigned
Dec 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95021259 CA
Gerontology Nurse Practitioner 363LG0600X 95021259 CA
Adult Health Nurse Practitioner 363LA2200X 95021259 CA Primary

Addresses

Primary practice location

16466 Bernardo Center Dr Ste 150
San Diego, CA 92128-2522

Mailing address

PO Box 910044
San Diego, CA 92191-0044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116003557 CA Practitioner - Nurse Practitioner 6002263746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zachary C Cohen MD ApcGroup PAC ID 6608260179, 15 clinicians

Practice addresses (Care Compare)

5395 Ruffin Rd
Suite 204
San Diego, CA 92123-1338
Phone (858) 571-3630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95021259CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zachary C Cohen MD Apc CurrentSince Aug 2, 2025 Accepting new patients
Tobias Moeller-Bertram MD Corporation CurrentSince Aug 12, 2024 Accepting new patients
Tobias Moeller-Bertram MD Corporation CurrentSince Aug 12, 2024 Accepting new patients
Zachary C Cohen MD Apc CurrentSince Aug 2, 2025 Accepting new patients

Locations

750 Medical Center Ct
Ste 14B
Chula Vista, CA 91911

5360 Jackson Dr
Ste 100
La Mesa, CA 91942
Phone (619) 462-5900

44630 Monterey Ave
Ste 100
Palm Desert, CA 92260
Phone (760) 340-4290

36101 Bob Hope Dr
Ste A1
Rancho Mirage, CA 92270
Phone (760) 321-1315

36101 Bob Hope Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 321-1315

36101 Bob Hope Dr
Ste B2
Rancho Mirage, CA 92270
Phone (760) 321-1315

5395 Ruffin Rd
Ste 204
San Diego, CA 92123

16466 Bernardo Center Dr
Ste 150
San Diego, CA 92128
Phone (858) 453-7700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1780395897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910044",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921910044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16466 BERNARDO CENTER DR STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282522",
            "telephone_number": "858-571-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACZKOWSKI",
        "first_name": "HELEN",
        "middle_name": "A.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95021259",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95021259",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95021259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.