Tiffany Baca, is a
Social Worker based in San Dimas, California. Tiffany Baca is licensed to practice in California (license number 118825) and her current practice location is
180 Via Verde Ste 200, San Dimas, California. She can be reached at her office (for appointments etc.) via phone at
(909) 599-1227.
NPI number for Tiffany Baca is 1710440292 and her current mailing address is Po Box 92225, City Of Industry, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710440292.
Healthcare Provider's Profile
| Full Name | Tiffany Baca |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 180 Via Verde Ste 200, San Dimas, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1710440292
- Provider Enumeration Date: 04/10/2019
- Last Update Date: 04/26/2024
Medical Identifiers
Medical identifiers for Tiffany Baca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710440292 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 118825 (California) | Secondary |
| 106S00000X | Behavior Technician | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 118825 (California) | 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. Tiffany 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 |
|---|
Tiffany Baca,
Po Box 92225,
City Of Industry, CA 91715-2225
Ph: (206) 379-1687 | Tiffany Baca,
180 Via Verde Ste 200,
San Dimas, CA 91773-3993
Ph: (909) 599-1227 |
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