TIMOTHY J BAKER (NPI# 1508169988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508169988 |
| Entity Type | Individual |
| Full Name | TIMOTHY J BAKER |
| Credential | CCP |
| Practice Address |
15239 Portico Ln Fontana CA 92336-1021 |
| Practice Telephone | 9097404114 |
| Practice Fax Number | 9095918343 |
| Mailing Telephone | 9097404114 |
| Mailing Fax Number | 9095918343 |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | NONE | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760618151 | Timothy Darrell Baker | Driver | 9050 Gilbert Rd, Ravenna, OH 44266-9216 | 2009-05-31 |
| 1528107208 | Timothy George Baker | Dentist | 624 N Van Ness Ave, Fresno, CA 93728-3422 | 2007-02-06 |
| 1891731964 | Timothy L Baker | Physical Therapist | 1050 Lakes Dr, Suite 100, West Covina, CA 91790-2924 | 2006-06-20 |
| 1356826598 | Timothy N Baker | Physician Assistant | 1651 Oneida St, Utica, NY 13501-4866 | 2018-10-02 |
| 1982106944 | Timothy Peter Baker | Physical Therapist | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2018-03-06 |
| 1194187187 | Timothy Baker | Physical Therapist | 740 Marne Hwy, Suite 203, Moorestown, NJ 08057-3126 | 2016-03-28 |
| 1376922567 | Timothy Lee Baker | Pharmacist | 5636 Us Route 60, Huntington, WV 25705-2148 | 2015-05-21 |
| 1184998262 | Timothy Scott Baker | Physician Assistant | 4100 W 3rd St, Dayton, OH 45428-9000 | 2012-03-07 |
| 1801119722 | Timothy Glenn Baker | Pharmacist | 22631 Route 68, Suite 30, Clarion, PA 16214-4068 | 2010-03-05 |
| 1891936258 | Timothy Edward Baker | Dermatology | 10725 International Dr, Rancho Cordova, CA 95670-7967 | 2009-03-16 |
| Street Address |
15239 PORTICO LN |
| City | FONTANA |
| State | CA |
| Zip Code | 92336-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700361243 | Schmidt and Jefferson Dental Corporation | Dentist | 16944 South Highland Avenue, Ste. 400, Fontana, CA 92336 | 2018-10-01 |
| 1275032658 | Kenitha Pulliam | Behavioral Analyst | 14051 Catalina Ct, Fontana, CA 92336 | 2018-02-12 |
| 1568961183 | Jordan Frailey | Marriage & Family Therapist | 9161 Sierra Ave. Suite 213, Fontana, CA 92336 | 2018-02-09 |
| 1689198905 | Sara Alyssa Lynch | Specialist/Technologist | 7151 Oak Tree Place, Fontana, CA 92336 | 2017-07-28 |
| 1043749526 | Eric Ceasar Parian Lopez | Registered Nurse | 16001 Pfc Paris Montanez Dr., Fontana, CA 92336 | 2017-06-08 |
| 1275065393 | Alyssa Calderon | Marriage & Family Therapist | 14335 Quail Ct, Fontana, CA 92336 | 2017-03-29 |
| 1588029219 | Daisy Maritza Santana | Behavioral Analyst | 16320 Rosa Linda Ln, Fontana, CA 92336 | 2015-12-23 |
| 1407237498 | Natalie Kathleen Herrera | Physician Assistant | 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 | 2015-06-15 |
| 1255738241 | Southern California Picc Providers, Inc. | Spec/Tech, Cardiovascular | 5787 Little Shay Dr, Fontana, CA 92336 | 2014-11-19 |
| 1396175758 | Martha C Ajca | Physician Assistant | 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 | 2013-11-22 |
| Find all providers in zip 92336 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574599 | Jonathan Persa | Perfusionist | 500 Race St Apt 4204, San Jose, CA 95126-5155 | 2020-09-24 |
| 1215551825 | Samantha Rhymer | Perfusionist | 2280 W El Camino Real Apt 3117, Mountain View, CA 94040-6231 | 2020-05-31 |
| 1912537770 | Ecmo Prn LLC | Perfusionist | 1246 Mission Rd, South San Francisco, CA 94080-1212 | 2020-01-21 |
| 1174082424 | Tun Win | Perfusionist | 580 N Wilma Ave Ste F, Ripon, CA 95366-9514 | 2019-03-17 |
| 1265900609 | Juan Carlos Tud | Perfusionist | 250 Fernando Ave, Palo Alto, CA 94306-2814 | 2018-11-04 |
| 1801318431 | Kevin Saiki | Perfusionist | 27729 Willow Trl, Escondido, CA 92026-7327 | 2017-07-14 |
| 1528597234 | Samantha Kollmann | Perfusionist | 700 Bair Island Rd # 230-204, Redwood City, CA 94063-2872 | 2017-06-06 |
| 1023546991 | Vina Nguyen | Perfusionist | 105 Fairchild Dr, Mountain View, CA 94043-2014 | 2017-05-23 |
| 1285175679 | Monette Thiele | Perfusionist | 668 Alice St, Monterey, CA 93940-2002 | 2017-03-17 |
| 1073055521 | Brian Haack | Perfusionist | 4638 Pepperwood Ave, Long Beach, CA 90808-1071 | 2016-11-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.