MARGARITA BACA (NPI# 1902984057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902984057 |
| Entity Type | Individual |
| Full Name | MARGARITA BACA |
| Credential | N.P. |
| Practice Address |
1033 3rd St San Rafael CA 94901-3107 |
| Practice Telephone | 4154826864 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP10970 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1033 3RD ST |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568448991 | Kevin Chun-kit Yee | Internal Medicine | 1033 3rd St, 3rd Floor, San Rafael, CA 94901-3107 | 2005-12-18 |
| 1659805703 | Wendy Chi | Pharmacist | 1033 3rd St, San Rafael, CA 94901-3107 | 2017-04-16 |
| 1326572744 | Linda Terada-yamamoto | Pharmacist | 1033 3rd St, San Rafael, CA 94901-3107 | 2017-04-12 |
| 1255862694 | Mary Z Lee | Pharmacist | 1033 3rd St, San Rafael, CA 94901-3107 | 2017-03-27 |
| 1649728189 | Tiet Nguyen | Pharmacist | 1033 3rd St, San Rafael, CA 94901-3107 | 2016-09-13 |
| 1790821072 | David A Nakagawa | Optometrist | 1033 3rd St, San Rafael, CA 94901-3107 | 2007-01-30 |
| 1417002841 | Stephen Courtney Godfrey | Optometrist | 1033 3rd St, San Rafael, CA 94901-3107 | 2007-01-24 |
| 1841342953 | Charles Jay Dahlman | Optometrist | 1033 3rd St, Eye Department, San Rafael, CA 94901-3107 | 2007-01-17 |
| 1992854897 | Joan Torio Mah | Optometrist | 1033 3rd St, San Rafael, CA 94901-3107 | 2007-01-09 |
| 1417004730 | Kaiser Foundation Health Plan Inc | Pharmacy | 1033 3rd St, San Rafael, CA 94901-3107 | 2007-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043420896 | Judy Lane | Nurse Practitioner | 25 Mitchell Blvd, Suite 8, San Rafael, CA 94903-2007 | 2007-05-23 |
| 1093882367 | Susan Mary Degutes | Nurse Practitioner | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2006-11-29 |
| 1548350416 | Terry S Carr | Nurse Practitioner | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2006-10-13 |
| 1538278494 | Thea D Cary | Nurse Practitioner | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2006-08-30 |
| 1902915168 | Rebecca Anne Shelley | Nurse Practitioner | 99 Montecillo Rd, Surgery Clinic, 2nd Floor, San Rafael, CA 94903-3308 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
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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.