Individual provider Active NPI

Dante Manalo Baes, M.D

  • Pediatrics Physician
  • Turlock, CA
National Provider Identifier
1902089352
Registry record updated Jun 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A100977 Issued in CA
Practice address
1200 W Main St
Turlock, CA 95380-5107
Phone
(209) 668-5388
Fax
(209) 668-5378
NPI assigned
Dec 7, 2007
Last updated
Jun 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A100977 CA Primary

Addresses

Primary practice location

1200 W Main St
Turlock, CA 95380-5107

Mailing address

737 W. Childs Ave.
Merced, CA 95341
Phone (209) 384-6493

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170707001258 CA Practitioner - Pediatric Medicine 4789953712 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A100977CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers CurrentSince May 30, 2017 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center CurrentSince May 30, 2017 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 826-1045

250 Northgate Dr
Manteca, CA 95336
Phone (209) 381-7120

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1902089352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W. CHILDS AVE.",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95341",
            "telephone_number": "209-384-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W MAIN ST",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953805107",
            "telephone_number": "209-668-5388",
            "fax_number": "209-668-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAES",
        "first_name": "DANTE",
        "middle_name": "MANALO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A100977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.