JACQUELINE NICOLE BAEZA
NPI 1346172251
Nurse Practitioner - Family in Tarzana, CA

Active since June 03, 2026
19626 VENTURA BLVD STE 225, TARZANA, CA 91356(747) 215-2070 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jacqueline Nicole Baeza NPPES

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

JACQUELINE NICOLE BAEZA (NPI 1346172251) is an individual family provider in Tarzana, California, licensed in California (95031503) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1346172251
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE NICOLE BAEZA
Location Address19626 VENTURA BLVD STE 225Tarzana, CA 91356-6038
Mailing Address10650 Reagan St # 386Los Alamitos, CA 90720-9998
Sole ProprietorYes
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1346172251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95031503
19626 VENTURA BLVD STE 225, Tarzana, CA 91356

Other Providers at the Same Location NPPES

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

Hospice Care, Community Based
19626 VENTURA BLVD STE 225
TARZANA, CA 91356

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 Baeza's NPI number?

The NPI number for Jacqueline Baeza is 1346172251. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Jacqueline Baeza located?

Jacqueline Baeza practices at 19626 Ventura Blvd Ste 225, Tarzana, CA 91356. The listed phone number is (747) 215-2070.

What is Jacqueline Baeza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Baeza was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.