Nelson C. Baxley

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0H96944 Issued in CA

Practice address

2451 W Holt Ave
El Centro, CA 92243-3543

Phone

(415) 793-6415

NPI assigned

Jul 1, 2024

Last updated

Jul 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1912742826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 W HOLT AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433543",
            "telephone_number": "415-793-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 W HOLT AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433543",
            "telephone_number": "415-793-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXLEY",
        "first_name": "NELSON",
        "middle_name": "C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "0H96944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Barron, AMFT
• Richard Emil Barsan, D.D.S
• Emma Fernanda Bastidas
• Erika Basurto
• Veronica Bautista
• Luis Bayona Jr.
• Sylvia Bazan
• Kimberly Ann Bazile
• Rafael Bazua
• Onyx Eugenia Bazulto

• Professional Counselor in El Centro, CA
• Providers in El Centro, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.