Active NPI
Helen A. Baczkowski, AGPCNP-BC
- Adult Health Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 95021259
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95021259 | CA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zachary C Cohen MD Apc | Current | Accepting new patients | |
| Tobias Moeller-Bertram MD Corporation | Current | Accepting new patients | |
| Tobias Moeller-Bertram MD Corporation | Current | Accepting new patients | |
| Zachary C Cohen MD Apc | Current | 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.
-
- Pain Medicine Physician
- San Diego, CA
- NPI 1689334468
-
- Durable Medical Equipment & Medical Supplies
- Indio, CA
- NPI 1861389199
-
- Pain Medicine (Anesthesiology) Physician
- Rancho Mirage, CA
- NPI 1922440684
-
- Interventional Pain Medicine Physician
- San Diego, CA
- NPI 1790589570
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.