Individual provider Active NPI

Michael Anthony Jean-Baptiste, NP

  • Nurse Practitioner
  • Chula Vista, CA
National Provider Identifier
1881104354
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95006440 Issued in CA
Practice address
330 Oxford St
Chula Vista, CA 91911-3117
Phone
(619) 213-9545
NPI assigned
Oct 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95006440 CA Primary

Addresses

Primary practice location

330 Oxford St
Chula Vista, CA 91911-3117

Mailing address

330 Oxford St Ste 110
Chula Vista, CA 91911-3118
Phone (619) 427-7181

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200708000348 CA Practitioner - Nurse Practitioner 2668895723 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unity Health Care Nursing PCGroup PAC ID 0941600720, 2 clinicians
Restore Medical GroupGroup PAC ID 1355871161, 3 clinicians

Practice addresses (Care Compare)

Escondido, CA 92027
Phone (858) 366-0977

502 Euclid Ave
Suite 200
National City, CA 91950-2984
Phone (858) 546-4300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95006440CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Community Homes LLC Current Accepting new patients
Azikeal LLC Current Accepting new patients
Restore Medical Group CurrentSince Nov 23, 2024 Accepting new patients
Unity Health Care Nursing PC CurrentSince Feb 15, 2022 Accepting new patients
LF Capital Inc CurrentSince Jun 1, 2020 Accepting new patients

Locations

502 Euclid Ave
Ste 200
National City, CA 91950
Phone (619) 434-4019

438 Camino del Rio S
Ste 203
San Diego, CA 92108
Phone (619) 955-8507

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1881104354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 OXFORD ST STE 110",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113118",
            "telephone_number": "619-427-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 OXFORD ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113117",
            "telephone_number": "619-213-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-BAPTISTE",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-10",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95006440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.