Raymundo Baro
Individual provider Active NPI Driver · San Bernardino, CA
NPI 1891496717 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1891496717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- D3814553 (CA)
- Practice address
- 2855 Sepulveda Ave
San Bernardino, CA 92404-3628 - Phone
- (909) 601-8270
- NPI assigned
- Mar 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D3814553 | CA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Nemt LLC | Driver | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | D3814553 | CA | Yes |
Addresses
Primary practice location
2855 Sepulveda Ave
San Bernardino, CA 92404-3628
Mailing address
2855 Sepulveda Ave
San Bernardino, CA 92404-3628
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.