Gary L Baker MD a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GARY L BAKER MD A PROFESSIONAL CORPORATION

Practice address

5750 Downey Ave
Suite 306
Lakewood, CA 90712-1405

Phone

(562) 408-4636

Fax

(562) 408-2684

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary Lamont Baker, M.D.NPI 1437167863

Title

Director/Owner

Phone

(562) 408-4636

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advanced Pain Specialists of Southern California Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Baker, MD

  • Interventional Pain Medicine Physician
  • Lakewood, CA
  • NPI 1437167863
  Medicare reassignment NPD Authorized official
• James Anthony Kim, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Santa Ana, CA
  • NPI 1720249691
  Medicare reassignment NPD
• Sudha Moola, MD

  • Obstetrics & Gynecology Physician
  • Riverside, CA
  • NPI 1063628386
  NPD (past)
• Alonso R Ojeda, M.D., F.A.C.O.G.

  • Obstetrics & Gynecology Physician
  • Riverside, CA
  • NPI 1215020169
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1902098304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 DOWNEY AVE",
            "address_2": "SUITE 306",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121480",
            "telephone_number": "562-408-4636",
            "fax_number": "562-408-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 DOWNEY AVE",
            "address_2": "SUITE 306",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121405",
            "telephone_number": "562-408-4636",
            "fax_number": "562-408-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L BAKER MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "562-408-4636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W19147",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER MEDICARE GROUP NUMBER",
            "identifier": "DO480A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pain Specialists of Southern California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garfield Beach CVS LLC
• Garfield Beach CVS LLC
• Garfield Beach CVS LLC
• Garfield Beach CVS LLC
• Garrison R Weaver-Gourdeau
• Gary L. Baker, M.D.
• Edwin Garza
• China Keyonnie Gassoway Stevenson
• Omran Gdara, MD
• David Brian Gebroe

• Specialist in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.