Individual provider Active NPI

Jack Baum, M.D.

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1790704765
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A40264 Issued in CA
Practice address
9201 W Sunset Blvd Ste 202
Los Angeles, CA 90069-3703
Phone
(310) 550-1951
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A40264 CA
Anesthesiology Physician 207L00000X A40264 CA Primary

Addresses

Primary practice location

9201 W Sunset Blvd Ste 202
Los Angeles, CA 90069-3703

Mailing address

PO Box 5486
Orange, CA 92863-5486
Phone (818) 550-0900

Other practice location 1

9231 W Olympic Blvd
Beverly Hills, CA 90212-4658
Phone (609) 515-6357

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050711000532 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 6204862436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Quality Care Anesthesia Consultants IncGroup PAC ID 3779706874, 21 clinicians

Practice addresses (Care Compare)

5700 San Fernando Rd
Glendale, CA 91202-2104
Phone (818) 688-0886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
La Quality Care Anesthesia Consultants Inc Anesthesiology CurrentSince Mar 1, 2022 Accepting new patients
Century Anesthesia Assoc. Anesthesiology PastSince Aug 1, 2005 Accepting new patients

Locations

2829 W Burbank Blvd
Ste 100
Burbank, CA 91505
Phone (818) 567-0349

1500 E Chevy Chase Dr
Ste 101
Glendale, CA 91206
Phone (818) 265-1581

5700 San Fernando Rd
Glendale, CA 91202
Phone (818) 637-7766

Organizations & group practices 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1790704765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5486",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635486",
            "telephone_number": "818-550-0900",
            "fax_number": "818-550-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900693703",
            "telephone_number": "310-550-1951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9231 W Olympic Blvd",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902124658",
            "country_code": "US",
            "telephone_number": "609-515-6357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUM",
        "first_name": "JACK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A40264",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A40264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.