Organization Active NPI

Joshua Baer OD Inc

  • Optometrist
  • El Dorado Hills, CA
National Provider Identifier
1790383818
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JOSHUA BAER OD INC
Practice address
3840 El Dorado Hills Blvd Ste 103
El Dorado Hills, CA 95762-4567
Phone
(916) 618-4832
NPI assigned
Oct 12, 2020
Last updated
Oct 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Dr. Joshua Chad Baer, ODNPI 1881889137
Title
Owner
Phone
(714) 326-5339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3840 El Dorado Hills Blvd Ste 103
El Dorado Hills, CA 95762-4567

Mailing address

3240 Collingswood Dr
El Dorado Hills, CA 95762-6218
Phone (714) 326-5339

National Provider Directory

National Provider Directory

Locations

3840 El Dorado Hills Blvd
Ste 103
El Dorado Hls, CA 95762
Phone (916) 618-4832

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1790383818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 COLLINGSWOOD DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957626218",
            "telephone_number": "714-326-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 EL DORADO HILLS BLVD STE 103",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624567",
            "telephone_number": "916-618-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA BAER OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-10",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-326-5339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.