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GREG BACA MD, LLC
NPI 1457789125
Psychiatry & Neurology - Psychiatry in Los Alamos, NM

Active since October 16, 2013
464 CENTRAL AVE, SUITE 4, LOS ALAMOS, NM 87544(505) 795-5217 Get Directions Write a Review

NPPES record last updated: October 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Greg Baca Md, Llc NPPES

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

GREG BACA MD, LLC (NPI 1457789125) is a healthcare organization registered as a psychiatry in Los Alamos, New Mexico and active in the NPI registry since October 2013. The organization lists Gregory K Baca, Owner, as its authorized official.

NPPES Registry Identity

NPI1457789125
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameGREG BACA MD, LLC
Location Address464 CENTRAL AVE, SUITE 4Los Alamos, NM 87544-3350
Mailing Address112 Grand Canyon DrLos Alamos, NM 87544-3423 · (505) 795-5217
Phone(505) 795-5217
Organization SubpartNo
Authorized OfficialGregory K BacaOwner · (505) 795-5217
Enumeration DateOctober 16, 2013
✔ NPI 1457789125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NM · MD2008-0553
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
464 CENTRAL AVE, Los Alamos, NM 87544
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Other Identifiers 1

Medicaid13252291NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. GREGORY K BACA M.D.
Psychiatry & Neurology (Addiction Psychiatry)
464 CENTRAL AVE, SUITE 4
LOS ALAMOS, NM 87544
Los Alamos County (505) 795-5217

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 Greg Baca MD, LLC's NPI number?

The NPI number for Greg Baca MD, LLC is 1457789125. It was assigned to this organization in the NPPES registry on October 16, 2013.

Where is Greg Baca MD, LLC located?

Greg Baca MD, LLC is located at 464 Central Ave Suite 4, Los Alamos, NM 87544. The listed phone number is (505) 795-5217.

What is Greg Baca MD, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Greg Baca MD, LLC was last updated on October 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.