Monica E. De Baca, M.D.

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

MD423639 Issued in PA

Practice address

4121 48TH Ave S
Seattle, WA 98118-1225

Phone

(206) 218-7788

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Einstein Practice Plan Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Phila, PA
  • NPI 1114970407
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1861443418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 48TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181225",
            "telephone_number": "206-218-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 48TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181225",
            "telephone_number": "206-218-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE BACA",
        "first_name": "MONICA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "PA",
            "license": "MD423639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399365500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher James Dayringer, PHARMD
• Anneth Cruz Dayrit, PHARMACY TECHNICIAN
• Jason Daza, R.PH
• Merrick Dazzo
• DBT-Iop at Ebtcs, PLLC
• Paul De Beijl, PT, L.AC
• Ian Harm De Boer, M.D.
• Iris Camille Canicula De Castro, M.D.
• Romeo Angelo De Claro, MD
• Victor De Cos, MD

• Anatomic Pathology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Anatomic Pathology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.