DR. JACQUELINE J. BAE MD
NPI 1245521749
Nutritionist - Nutrition, Education in Lakeport, CA

Active since May 02, 2011
925 BEVINS CT, LAKEPORT, CA 95453(707) 263-8382(707) 263-0329 Get Directions Write a Review

NPPES record last updated: May 2, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jacqueline J. Bae Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUELINE J. BAE MD (NPI 1245521749) is an individual nutrition, education provider in Lakeport, California and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1245521749
Entity TypeIndividualFemale
Primary Taxonomy133NN1002X
Provider Legal NameDR. JACQUELINE J. BAECredential: MD
Location Address925 BEVINS CTLakeport, CA 95453-9754
Mailing AddressPo Box 1558Lakeport, CA 95453-1558 · (213) 663-2538
Fax(707) 263-0329
Sole ProprietorNo
Enumeration DateMay 2, 2011
NPI 1245521749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
Also ListedCounselorTaxonomy 101Y00000X
925 BEVINS CT, Lakeport, CA 95453

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
925 BEVINS CT
LAKEPORT, CA 95453
Registered Nurse (General Practice)
925 BEVINS CT
LAKEPORT, CA 95453
Health Educator
925 BEVINS CT
LAKEPORT, CA 95453
Registered Nurse (Administrator)
925 BEVINS CT
LAKEPORT, CA 95453
Dentist
925 BEVINS CT
LAKEPORT, CA 95453
Marriage & Family Therapist
925 BEVINS CT
LAKEPORT, CA 95453
Nurse Practitioner
925 BEVINS CT
LAKEPORT, CA 95453
Nurse Practitioner (Family)
925 BEVINS CT
LAKEPORT, CA 95453

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Bae's NPI number?

The NPI number for Jacqueline Bae is 1245521749. It was assigned to this individual provider in the NPPES registry on May 2, 2011.

Where is Jacqueline Bae located?

Jacqueline Bae practices at 925 Bevins Ct, Lakeport, CA 95453. The listed phone number is (707) 263-8382.

What is Jacqueline Bae's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Jacqueline Bae was last updated on May 2, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.