MR. RUSTY GENE BAKER (NPI# 1861828808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861828808 |
| Entity Type | Individual |
| Full Name | MR. RUSTY GENE BAKER |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
Surface Warfare Medical Institute 34101 Farenholt Avenue San Diego CA 92134-0001 |
| Mailing Address |
1606 Providence Dr Mchenry IL 60051-6974 |
| Practice Telephone | 6195327766 |
| Mailing Telephone | 2103860579 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2019-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
SURFACE WARFARE MEDICAL INSTITUTE 34101 FARENHOLT AVENUE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92134-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255392874 | James Steven Carbone | Military Health Care Provider | Surface Warfare Medical Institute, 34101 Farenholt Ave, San Diego, CA 92134-0001 | 2006-03-31 |
| 1669039798 | Coy Dylan Parker | Military Health Care Provider | Surface Warfare Medical Institute, 34101 Farenholt Ave, San Diego, CA 92134 | 2019-05-23 |
| 1699217745 | Don Rodriguez | Military Health Care Provider | Surface Warfare Medical Institute, 34101 Farenholt Avenue, Building 14, San Diego, CA 92134-5291 | 2016-11-07 |
| 1770962409 | Robert Staton | Military Health Care Provider | Surface Warfare Medical Institute, 34101 Farenholt Avenue, Building 14, San Diego, CA 92134-0001 | 2015-05-27 |
| 1467843904 | Sean Henby | Military Health Care Provider | Surface Warfare Medical Institute, 34101 Farenholt Avenue, Building 14, San Diego, CA 92134-5291 | 2015-02-05 |
| 1003226309 | United States Navy | Military Hospital | Surface Warfare Medical Institute, 34101 Farenholt Avenue, Building 14, San Diego, CA 92134-5291 | 2014-05-07 |
| 1710308390 | Weldon W Wellington | Military Health Care Provider | Surface Warfare Medical Institute, 34101 Farenholt Avenue, Building 14, San Diego, CA 92134-5291 | 2013-12-26 |
| 1760814073 | Robert Jess Valtierra IIi | Military Health Care Provider | Surface Warfare Medical Institute, 34101 Farenholt Avenue, Building 14, San Diego, CA 92134-0001 | 2013-08-09 |
| 1760814875 | Colleen Jane Leon | Military Health Care Provider | Surface Warfare Medical Institute, 34101 Farenholt Avenue, Building 14, San Diego, CA 92134-5291 | 2013-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1255870333 | Dosh Page | Physician Assistant | Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 | 2017-02-22 |
| 1417328063 | Noem Clay Gallego | Military Health Care Provider | 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 | 2015-10-08 |
| 1972999183 | Justin Paul Lachney | Military Health Care Provider | 34101 Farenholt Avenue, San Diego, CA 92134 | 2015-04-14 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1447591268 | Amy B. Cornell | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 | 2013-03-04 |
| 1841562956 | Christopher Patrick Androski Jr. | Emergency Medical Technician, Basic | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 | 2012-02-04 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1225320237 | Kimberly Ann Thompson | Student in an Organized Health Care Education/Training Program | Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 | 2011-05-09 |
| Find all providers in zip 92134 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| 1639776503 | Nathan Tuan Dinh | Physician Assistant | 8296 Via Escalada, San Diego, CA 92129-2223 | 2020-10-05 |
| 1750988671 | Denise Aquino | Physician Assistant | 7322 Mesa College Dr Apt 7, San Diego, CA 92111-4943 | 2020-10-04 |
| 1962009183 | Courtney Krysl | Physician Assistant | 14434 Corte Lampara, San Diego, CA 92129-3818 | 2020-10-01 |
| 1497369284 | Brian Carroll | Physician Assistant | 7242 Melotte St, San Diego, CA 92119-1613 | 2020-08-31 |
| 1871104067 | Satoshi Ikeda | Physician Assistant | 16198 Paseo Del Sur, San Diego, CA 92127-6155 | 2020-08-12 |
| 1760009989 | Lili Tran | Physician Assistant | 8865 Calle Tragar, San Diego, CA 92129-2156 | 2020-07-03 |
| 1245857259 | Kendra Roberta Witt | Physician Assistant | 11396 Poblado Rd, San Diego, CA 92127-1351 | 2020-06-25 |
| 1336766344 | Brandon Scott Johnson | Physician Assistant | 1540 Oliver Ave Apt C, San Diego, CA 92109-5595 | 2020-06-25 |
| 1104441021 | Kira Ann Tellache | Physician Assistant | 4520 Executive Dr Ste 325, San Diego, CA 92121-3087 | 2020-06-16 |
| Find all providers in SAN DIEGO | ||||
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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.