Individual provider Active NPI

Alyssa Susanne Baker, NP

  • Nurse Practitioner
  • Escondido, CA
National Provider Identifier
1942665237
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95027570 Issued in CA
Practice address
1045 E Pennsylvania Ave
Escondido, CA 92025-4616
Phone
(760) 884-4500
Fax
(619) 567-7775
NPI assigned
Dec 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95027570 CA Primary

Addresses

Primary practice location

1045 E Pennsylvania Ave
Escondido, CA 92025-4616

Mailing address

1045 E Pennsylvania Ave
Escondido, CA 92025-4616
Phone (760) 884-4500

Other practice location 1

1111 Broadway Ste 305
Chula Vista, CA 91911-2700
Phone (619) 567-7007

Other practice location 2

6179 alvarado road
suite 303
San Diego, CA 92120
Phone (619) 500-7699

Other practice location 3

2205 Ross Ave Ste 101
El Centro, CA 92243-3623
Phone (760) 406-4402

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131003504 CA Practitioner - Nurse Practitioner 3274986740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95027570CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sasha Salloum MD Inc a Professional Medical Corporation CurrentSince Jan 1, 2024 Accepting new patients

Locations

1111 Broadway
Ste 305
Chula Vista, CA 91911
Phone (619) 425-8212

2205 Ross Ave
Ste 101
El Centro, CA 92243
Phone (760) 353-0404

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

1045 E Pennsylvania Ave
Escondido, CA 92025
Phone (760) 741-5466

2433 Marshall Ave
Ste 1
Imperial, CA 92251
Phone (760) 406-4402

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1942665237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 E PENNSYLVANIA AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254616",
            "telephone_number": "760-884-4500",
            "fax_number": "619-567-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 E PENNSYLVANIA AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254616",
            "telephone_number": "760-884-4500",
            "fax_number": "619-567-7775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Broadway Ste 305",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919112700",
            "country_code": "US",
            "telephone_number": "619-567-7007",
            "fax_number": "619-567-7775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6179 alvarado road",
            "address_2": "suite 303",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92120",
            "country_code": "US",
            "telephone_number": "619-500-7699",
            "fax_number": "619-567-7775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2205 Ross Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922433623",
            "country_code": "US",
            "telephone_number": "760-406-4402",
            "fax_number": "619-567-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "ALYSSA",
        "middle_name": "SUSANNE",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95027570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.