ISAMAR BAEZA


Address: 2716 Freedom Blvd., Freedom, CA 95019
Phone: 8316886293

ISAMAR BAEZA (NPI# 1639514441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639514441
Entity Type Individual
Full Name ISAMAR BAEZA
Practice Address 2716 Freedom Blvd.
Freedom
CA 95019
Practice Telephone 8316886293
Enumeration Date 2013-05-07
Last Update Date 2017-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 106H00000X Marriage & Family Therapist 91709 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA SANTA CRUZ COUNTY MEDICARE GROUP PTAN# ZZZ91892Z 01

Office Location

Street Address 2716 FREEDOM BLVD.
City FREEDOM
State CA
Zip Code 95019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992140644 Michael Murphy Counselor 2716 Freedom Blvd., Freedom, CA 95019 2013-05-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649757428 J. B. Physical Therapy, Inc. Physical Therapist 212 Green Valley Road, Freedom, CA 95019 2018-07-24
1174891386 Lisa Patrice Hamil Pharmacist 1810 Freedom Blvd., Freedom, CA 95019 2011-12-02
1346363710 Chad Truong Dentist 2016 Freedom Boulevard, Freedom, CA 95019 2007-04-09
1962539585 Frederick Wen Kang Chen Internal Medicine 243 Green Valley Rd Suite #e, Freedom, CA 95019 2007-02-28
1538277819 Jacqueline Morris-lopez Physician Assistant 108 Green Valley Rd, Freedom, CA 95019 2006-08-28
1912979725 Angela Molina Anesthesiology 160 Green Valley Rd Ste 101, Freedom, CA 95019 2006-02-06
1194704973 David A South Md & Kim M Albridge Md A Medical Corporation Dermatology 204 Green Valley Road, Freedom, CA 95019 2006-01-11
1699232108 Kayhan Mashouf Dmd Inc Dentist 270 Green Valley Rd, Freedom, CA 95019 2019-02-21
1194215434 Hai Phu Duong Pharmacist 1810 Freedom Blvd, Freedom, CA 95019 2018-05-11
1568836153 Alexander Gordon Counselor 2716 Freedom Blvd, Freedom, CA 95019 2015-11-19
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508467291 Jasmine Oganesyan Marriage & Family Therapist 29217 Flowerpark Dr, Santa Clarita, CA 91387-1807 2020-11-08
1760083463 John Nelson Marriage & Family Therapist 4625 Mountain Lakes Blvd, Redding, CA 96003-1450 2020-11-08
1689275331 Brenda L Curtis Marriage & Family Therapist 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 2020-11-07
1760083679 Heidi J Flanagan Marriage & Family Therapist 705 Sunrise Ave, D115, Roseville, CA 95661-6411 2020-11-06
1447851266 Gloria Alice Lakin Marriage & Family Therapist 2720 Neilson Way # 5564, Santa Monica, CA 90405-4060 2020-11-06
1497356398 Lourdes Loyola Marriage & Family Therapist 15720 Ventura Blvd Ste 603, Encino, CA 91436-4727 2020-11-06
1639770761 Renee Lopez-delfino Marriage & Family Therapist 1244 Heatherstone Way, Sunnyvale, CA 94087-1537 2020-11-04
1346841558 Jennifer Spiegel Aune Marriage & Family Therapist 810 College Ave Ste 1a, Kentfield, CA 94904-2565 2020-11-04
1225639495 Bringing Medicine Culturally Competent Counseling and Indigenous Marriage & Family Therapist 206 Sacramento St Suite 212, Nevada, CA 95959 2020-11-04
1689275810 Milestone Marriage and Family Therapy Services Professional Corporati Marriage & Family Therapist 10601 Civic Center Dr Ste 100a-d, Rancho Cucamonga, CA 91730-3878 2020-11-04
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Competitor

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City FREEDOM
Zip Code 95019

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Dataset Information

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.

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