Michael Baxter, M.D., MSC

Individual provider Active NPI Otolaryngology Physician · Camp Pendleton, CA

NPI 1972863884 · NPPES record last updated Jul 24, 2025

Key facts

NPI
1972863884
Entity type
Individual (NPI type 1)
Primary specialty
Otolaryngology Physician 207Y00000X
License
C200023 (CA)
Practice address
200 Mercy Circle
Camp Pendleton, CA 92055
Phone
(760) 725-6646
NPI assigned
May 24, 2012
Sex
Male
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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C200023CAMDOtolaryngology Physician

Interoperability endpoints

  • Direct secure messaging: michael.baxter.1@31068.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X C200023 CA Yes

Addresses

Primary practice location

200 Mercy Circle
Camp Pendleton, CA 92055

Mailing address

Nmcsd
34520 Bob Wilson Dr., Suite 200
San Diego, CA 92134-0001

Other providers in Camp Pendleton, CA

All providers in Camp Pendleton, CA · Otolaryngology Physician in California

Sources for this page

Verify at the official NPI Registry.