Angela Baker, OTD, PHD, MA,OTR/L
Individual provider Active NPI Occupational Therapist · Lake Arrowhead, CA
NPI 1972177392 · NPPES record last updated May 19, 2021
Key facts
- NPI
- 1972177392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 4968 (CA)
- Practice address
- 28476 Larchmont Lane
Lake Arrowhead, CA 92385 - Phone
- (626) 826-4049
- NPI assigned
- May 19, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4968 | CA | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 4968 | CA | |
| Occupational Therapist | 225X00000X | 4968 | CA | Yes |
Addresses
Primary practice location
28476 Larchmont Lane
Lake Arrowhead, CA 92385
Mailing address
PO Box 735
Skyforest, CA 92385-0735
Phone (626) 826-4049
Other providers in Lake Arrowhead, CA
- Arrowhead - OB-GYN
- Arrowhead Acupuncture
- Arrowhead Medical Services, Inc.
- Arrowhead Village Dental Group
- Elisa Ellen Aumont
- Stephen Dow Barath
- Don Gary Batten
- Sean K Benggon
- Hugh A. Bialecki
- Larry John Biederman
All providers in Lake Arrowhead, CA · Occupational Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.