Alfonso M. Baez, M.D., Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

A35887 Issued in CA

Legal business name

ALFONSO M. BAEZ, M.D., INC.

Practice address

14127 S Vermont Ave
Gardena, CA 90247-2205

Phone

(310) 532-1650

Fax

(310) 532-2036

NPI assigned

Feb 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Alfonso M. Baez, M.D.

Title

Medical Doctor

Phone

(310) 532-1650

Specialties & licenses 1

Addresses

Other names 1

• ALFONSO M. BAEZ, M.D. Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alfred Fuentes Jr., PA-C

  • Medical Physician Assistant
  • Gardena, CA
  • NPI 1235409566
  NPD (past)

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1801064647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14127 S VERMONT AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902472205",
            "telephone_number": "310-532-1650",
            "fax_number": "310-532-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14127 S VERMONT AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902472205",
            "telephone_number": "310-532-1650",
            "fax_number": "310-532-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFONSO M. BAEZ, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "310-532-1650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "A35887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALFONSO M. BAEZ, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ciara Alexander
• Darius Alexander
• Smaiya Alexander
• Paola Jackeline Alfaro Geraldo
• Melanie Alfaro
• Jahar Ali
• Zeinab A Ali, NONE
• Rama Aljersh
• All Care Enterprises Inc.
• All Friends Dental Center

• Point of Service in Gardena, CA
• Providers in Gardena, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.