Mr John Paul Baca, is a
Rehabilitation Practitioner based in Van Nuys, California. Mr John Paul Baca is licensed to practice in * (Not Available) (license number ) and his current practice location is
16650 Sherman Way, Van Nuys, California. He can be reached at his office (for appointments etc.) via phone at
(818) 901-4836.
NPI number for Mr John Paul Baca is 1891457008 and his current mailing address is 15228 Nurmi St, Sylmar, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891457008.
Healthcare Provider's Profile
| Full Name | Mr John Paul Baca |
|---|
| Gender | Male |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 16650 Sherman Way, Van Nuys, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891457008
- Provider Enumeration Date: 10/06/2021
- Last Update Date: 01/04/2022
Medical Identifiers
Medical identifiers for Mr John Paul Baca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891457008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10968 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John Paul Baca is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr John Paul Baca,
15228 Nurmi St,
Sylmar, CA 91342-3719
Ph: (818) 792-3539 | Mr John Paul Baca,
16650 Sherman Way,
Van Nuys, CA 91406-3782
Ph: (818) 901-4836 |
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