Patricia Louise Baker, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11831 Issued in CA

Practice address

141 Lynch Creek Way Ste C
Petaluma, CA 94954-2390

Phone

(707) 763-0802

Fax

(707) 763-0803

NPI assigned

Apr 17, 2007

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 names 1

• Patricia Louise Baker-Bordiga Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  NPD (past)
• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1902022494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FULLERTON LN",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949524709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LYNCH CREEK WAY STE C",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542390",
            "telephone_number": "707-763-0802",
            "fax_number": "707-763-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "PATRICIA",
        "middle_name": "LOUISE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "BAKER-BORDIGA",
            "middle_name": "LOUISE",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yasaman Ayat
• Saw Wynn Aye, M.D
• Maryam Bacha
• Jason Bacharach, MD
• Nikole Baker
• Kasey Caletti Ballentine
• Orest M Balytsky, D.M.D.
• Ashley Gisselle Banderas Solorio
• Lauren Banister
• Tetja Ann Barbee, BA

• Physician Assistant in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.