Active NPI
David Nicholas Baker, PHYSICIAN ASSISTANT
- Physician Assistant
- Fresno, CA
National Provider Identifier
1962583740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA12850
- Practice address
- 736 E Bullard Ave
S-101
Fresno, CA 93710-5473 - Phone
- (559) 437-9700
- Fax
- (559) 437-9799
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA12850 | CA | Primary |
Addresses
Primary practice location
736 E Bullard Ave
S-101
Fresno, CA 93710-5473
Mailing address
736 E Bullard Ave
S-101
Fresno, CA 93710-5473
Phone (559) 437-9700
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040331000709 | CA | Practitioner - Physician Assistant | 3173515178 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Neuro-Pain Medical Center Inc
Practice addresses (Care Compare)
736 E Bullard
Suite 101
Fresno, CA 93710
Phone (559) 437-9700
736 E Bullard Ave
Suite 101
Fresno, CA 93710-5473
Hospital & facility affiliations
- Community Regional Medical Center
- Saint Agnes Medical Center
- Clovis Community Medical Center
- Kaweah Health Medical Center
- San Joaquin Valley Rehabilitation Hosp
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12850 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanford Community Hospital | Past | Accepting new patients |
Interoperability endpoints
- dbakerpac@npmc.ssdirect.aprima.com
Organizations & group practices 3
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.
-
- Neurology Physician
- Hanford, CA
- NPI 1326404849
CA
-
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Fresno, CA
- NPI 1831144716
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
Hospital
-
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962583740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 E BULLARD AVE",
"address_2": "S-101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105473",
"telephone_number": "559-437-9700",
"fax_number": "559-437-9799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 E BULLARD AVE",
"address_2": "S-101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105473",
"telephone_number": "559-437-9700",
"fax_number": "559-437-9799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "DAVID",
"middle_name": "NICHOLAS",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA12850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.