Individual provider Active NPI

Perryn Baker

  • Certified Registered Nurse Anesthetist
  • Walnut Creek, CA
National Provider Identifier
1982276937
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95002315 Issued in CA
Practice address
140 Flora Ave Apt 223
Walnut Creek, CA 94595-1244
Phone
(909) 801-1777
NPI assigned
Jul 10, 2021
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95002315 CA Primary
Registered Nurse 163W00000X 787137 CA

Addresses

Primary practice location

140 Flora Ave Apt 223
Walnut Creek, CA 94595-1244

Mailing address

140 Flora Ave Apt 223
Walnut Creek, CA 94595-1244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522000060 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800238965 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95002315CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horieh Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Lgibson Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 16, 2024 Accepting new patients
JP Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients

Locations

1281 W C St
Colton, CA 92324
Phone (909) 580-3353

1850 E Washington St
Colton, CA 92324
Phone (909) 233-7057

541 S Pasadena Ave
#101
Glendora, CA 91741
Phone (626) 610-1850

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

9674 Archibald Ave
Ste 125
Rch Cucamonga, CA 91730
Phone (909) 296-8930

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1982276937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FLORA AVE APT 223",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 FLORA AVE APT 223",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951244",
            "telephone_number": "909-801-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "PERRYN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-10",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95002315",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "787137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.