ALFONSO M. BAEZ, M.D., INC. (NPI# 1801064647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801064647 |
| Entity Type | Organization |
| Organization Name | ALFONSO M. BAEZ, M.D., INC. |
| Other Organization Name | ALFONSO M. BAEZ, M.D. |
| Practice Address |
14127 S Vermont Ave Gardena CA 90247-2205 |
| Practice Telephone | 3105321650 |
| Practice Fax Number | 3105322036 |
| Mailing Telephone | 3105321650 |
| Mailing Fax Number | 3105322036 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | DR. ALFONSO M. BAEZ (MEDICAL DOCTOR) |
| Authorized Official Telephone | 3105321650 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | A35887 | CA | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| ALFONSO M. BAEZ, M.D. | Other Name - Individual/Organization |
| Street Address |
14127 S VERMONT AVE |
| City | GARDENA |
| State | CA |
| Zip Code | 90247-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235409566 | Alfred Fuentes Jr. | Physician Assistant | 14127 S Vermont Ave, Gardena, CA 90247-2205 | 2012-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
| 1538645569 | Christopher Jabarie Markham | Case Manager/Care Coordinator | 12817 S Hoover St Apt 14, Gardena, CA 90247 | 2018-07-12 |
| 1013404243 | Sunshine Community Resource Organization Center | Counselor | 1202 W 135th Street, Gardena, CA 90247 | 2018-04-13 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1497290522 | Better Vision Optical | Eyewear Supplier (Equipment, not the service) | 1121 W Gardena Blvd Ste A, Gardena, CA 90247 | 2016-12-28 |
| 1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
| 1396147682 | Daniel Medical Group, Inc. | Acupuncturist | 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 | 2014-09-18 |
| 1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
| 1215229547 | Everett D Wong | Social Worker | 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 | 2011-05-04 |
| Find all providers in zip 90247 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538575303 | West Gardena Community Clinic | Point of Service | 2233 W Rosecrans Ave, Gardena, CA 90249-2905 | 2014-07-01 |
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|---|---|---|---|---|
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| 1710525092 | Rex Ross Bennett Jr. | Point of Service | 22687 E Cliff Dr, Santa Cruz, CA 95062-5357 | 2019-12-17 |
| 1508401985 | Live Leveled Family Therapy, Inc | Point of Service | 809 Quarry Rd Apt B, San Francisco, CA 94129-1150 | 2019-11-09 |
| 1558906982 | Session Sync, Inc. | Point of Service | 44262 Marcelina Court, Temecula, CA 92592 | 2019-11-08 |
| 1629622063 | Rose Woo Psychologists Inc | Point of Service | 16 S Oakland Ave Ste 214, Pasadena, CA 91101-2042 | 2019-07-24 |
| 1770136426 | Hmk Medical Transportation | Point of Service | 267 Aldama Ave, Pomona, CA 91767-1749 | 2019-07-22 |
| 1427516681 | Klifford T Kapus Dds., Msd A Dental Corporation | Point of Service | 4200 East Ave Ste 100, Livermore, CA 94550-4945 | 2019-03-06 |
| 1821553850 | Reginald Washington | Point of Service | 2733 Lemon Grove Ave, Lemon Grove, CA 91945-2938 | 2019-02-04 |
| 1417432246 | Access Multilingual Services, Inc. | Point of Service | 11041 Santa Monica Blvd, #813, Los Angeles, CA 90025-3523 | 2018-09-27 |
| 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.