Baker, Gerald G
Baker, Gerald G is an individual health care provider with primary practice located at 1260 15Th St Suite 1014, Santa Monica CA 90404-1135. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Baker, Gerald G can be contacted via phone (310) 451-1618.Contact Information
Primary practice address
1260 15Th St Suite 1014
Santa Monica CA 90404-1135
Phone: (310) 451-1618
Fax: (310) 395-6747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E1735 | California |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | E1735 | California |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | E1735 | California |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E1735 | California |
Profile Details
| NPI number | 1316151590 |
|---|---|
| LBN Legal business name | Baker, Gerald G |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Jan 18th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316151590 | NPPES |
| California | Other | 0207250001 | MEDICARE DME |
| California | Other | WE6504 | MEDICARE DME |
| California | Other | E1735 | MEDICARE DME |
| California | Other | 1043245525 | MEDICARE DME |
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