ANTHONY JACOB BACA JR. (NPI# 1720398159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720398159 |
| Entity Type | Individual |
| Full Name | ANTHONY JACOB BACA JR. |
| Practice Address |
5105 Smoke Ranch Rd Las Vegas NV 89108-3536 |
| Practice Telephone | 7026380395 |
| Practice Fax Number | 7026380362 |
| Mailing Telephone | 7026380395 |
| Mailing Fax Number | 7026380362 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275923302 | Anthony Ray Baca | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2015-01-27 |
| 1508170408 | Anthony L Baca | Case Manager/Care Coordinator | 1200 Highway 60, Socorro, NM 87801-3914 | 2010-08-03 |
| 1932372257 | Anthony Peter Baca | Counselor | 1101 Medical Arts Ave Ne, Building #3, Albuquerque, NM 87102-2706 | 2008-04-08 |
| 1225222813 | Anthony Morris Baca | Case Manager/Care Coordinator | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2007-08-28 |
| Street Address |
5105 SMOKE RANCH RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89108-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710001037 | Melissa Marie Mccafferty | Marriage & Family Therapist | 5105 Smoke Ranch Rd, Las Vegas, NV 89108-3536 | 2007-03-19 |
| 1760731087 | Cody Lynn Spencer | Counselor | 5105 Smoke Ranch Rd, Las Vegas, NV 89108-3536 | 2012-08-31 |
| 1386939304 | Allan Rogers | Rehabilitation Practitioner | 5105 Smoke Ranch Rd, Las Vegas, NV 89108-3536 | 2011-06-17 |
| 1285926162 | Christy Gargoni | Rehabilitation Practitioner | 5105 Smoke Ranch Rd, Las Vegas, NV 89108-3536 | 2011-05-10 |
| 1538451414 | Christina Cobeo | Rehabilitation Practitioner | 5105 Smoke Ranch Rd, Las Vegas, NV 89108-3536 | 2011-05-10 |
| 1780987891 | Timothy Watkins | Rehabilitation Practitioner | 5105 Smoke Ranch Rd, Las Vegas, NV 89108-3536 | 2010-12-10 |
| 1326341439 | Jill Hoverder | Rehabilitation Practitioner | 5105 Smoke Ranch Rd, Las Vegas, NV 89108-3536 | 2010-12-10 |
| 1164722815 | George Stewart | Rehabilitation Practitioner | 5105 Smoke Ranch Rd, Las Vegas, NV 89108-3536 | 2010-10-28 |
| 1376853523 | Michael Treacy | Rehabilitation Practitioner | 5105 Smoke Ranch Rd, Las Vegas, NV 89108-3536 | 2010-10-20 |
| 1326358763 | Ilia Sanchez | Rehabilitation Practitioner | 5105 Smoke Ranch Rd, Las Vegas, NV 89108-3536 | 2010-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519380 | Alicia Becerra Meza | Technician | 6585 Lemitar Dr., Las Vegas, NV 89108 | 2020-08-18 |
| 1679181978 | Lisa Nicole Plonsky | Technician, Pathology | 1104 Smith St, Las Vegas, NV 89108 | 2020-07-22 |
| 1376185983 | Yazmin Pelayo | Technician | 1513 Fay Boulevard, Las Vegas, NV 89108 | 2019-10-15 |
| 1619523974 | Maria De Carmen Reynoso Ponce | Technician | 6431 Big Pine Way, Las Vegas, NV 89108 | 2019-08-13 |
| 1669028122 | Maricela Arteaga | Technician | 1425 Lilac Breeze Cr, Las Vegas, NV 89108 | 2019-08-12 |
| 1255808853 | Alexis Nicole Haynes | Health Educator | 2589 North Rancho Drive, Las Vegas, NV 89108 | 2018-11-01 |
| 1720554827 | Total Recovery Bhs | Community/Behavioral Health | 2436 Valparaiso St, Las Vegas, NV 89108 | 2018-10-17 |
| 1083104574 | Melissa Jacqueline Marie Howard | Rehabilitation Counselor | 4428 West Lake Mead Blvd, Las Vegas, NV 89108 | 2018-05-10 |
| 1104315647 | Pinnacle Medical Center | Family Medicine | 3172 N. Rainbow Blvd, Suite# 1176, Las Vegas, NV 89108 | 2018-05-09 |
| 1255845103 | Zaneqwah Shaw | Community/Behavioral Health | 3933 Lazy Pine St Unit 201, Las Vegas, NV 89108 | 2017-11-29 |
| Find all providers in zip 89108 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656438 | Brittney Mary Sobwick | Rehabilitation Practitioner | 8360 W Sahara Ave Ste 230, Las Vegas, NV 89117-8945 | 2020-10-12 |
| 1184234544 | Karina Mandello | Rehabilitation Practitioner | 8250 N Grand Canyon Dr Unit 2121, Las Vegas, NV 89166-3734 | 2020-07-31 |
| 1730797408 | Jeffrey Michael Stovall | Rehabilitation Practitioner | 7037 Fort Union Ct, Las Vegas, NV 89179-1206 | 2020-07-20 |
| 1194333716 | Francisco Javier Robles | Rehabilitation Practitioner | 2810 W Charleston Blvd Ste H77, Las Vegas, NV 89102-1921 | 2020-07-20 |
| 1073121836 | Genna Villanueva | Rehabilitation Practitioner | 6612 Sand Bench Ave, Las Vegas, NV 89130-4801 | 2020-07-17 |
| 1861000895 | Carolyn Mccrae | Rehabilitation Practitioner | 11245 Vintners Ln, Las Vegas, NV 89138-1503 | 2020-07-15 |
| 1871119404 | Andrew Hunt | Rehabilitation Practitioner | 9557 Green Spruce St, Las Vegas, NV 89123-3573 | 2020-06-19 |
| 1861018566 | Tshawnalyn Alize Nicole Puryear | Rehabilitation Practitioner | 6300 W Tropicana Ave Trlr 159, Las Vegas, NV 89103-4422 | 2020-06-19 |
| 1962024661 | Ernestina Huerta | Rehabilitation Practitioner | 6933 Cobblestone Ave, Las Vegas, NV 89145-5349 | 2020-05-15 |
| 1538789102 | Thomas Putnam | Rehabilitation Practitioner | 7824 Nesting Pine Pl, Las Vegas, NV 89143-4468 | 2020-04-23 |
| Find all providers in LAS VEGAS | ||||
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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.