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JACKSON ROBERT BAKER
NPI 1528810074
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 05, 2024PECOS Enrolled
1975 ZONAL AVE, LOS ANGELES, CA 90089(847) 630-8442 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Robert Baker NPPES

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

JACKSON ROBERT BAKER (NPI 1528810074) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528810074
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKSON ROBERT BAKER
Location Address1975 ZONAL AVELos Angeles, CA 90089-5601
Mailing Address1975 Zonal AveLos Angeles, CA 90089-5601 · (847) 630-8442
Phone(847) 630-8442
Sole ProprietorNo
Enumeration DateApril 5, 2024
NPPES CertifiedApril 5, 2024
✔ NPI 1528810074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1975 ZONAL AVE, Los Angeles, CA 90089
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Robert Baker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SEIN TUN DO
Internal Medicine (Nephrology)
1975 ZONAL AVE
LOS ANGELES, CA 90089
Los Angeles County (323) 442-1900
IVAN YUN-KUEN LUU
Student in an Organized Health Care Education/Training Program
1975 ZONAL AVE
LOS ANGELES, CA 90089
Los Angeles County (323) 442-1100
NEHA VYAS
Student in an Organized Health Care Education/Training Program
1975 ZONAL AVE
LOS ANGELES, CA 90089
Los Angeles County (323) 442-2552
LILLY HELMUTH-MALONE
Student in an Organized Health Care Education/Training Program
1975 ZONAL AVE
LOS ANGELES, CA 90089
Los Angeles County (323) 442-1900
BRIAN MICHAEL HOM
Student in an Organized Health Care Education/Training Program
1975 ZONAL AVE
LOS ANGELES, CA 90089
Los Angeles County (323) 442-1100
DANIELLE WISHART
Student in an Organized Health Care Education/Training Program
1975 ZONAL AVE
LOS ANGELES, CA 90089
Los Angeles County (323) 442-1100
NICOLE WOODRUFF
Student in an Organized Health Care Education/Training Program
1975 ZONAL AVE
LOS ANGELES, CA 90089
Los Angeles County (415) 652-9923
AMINA KHAN
Student in an Organized Health Care Education/Training Program
1975 ZONAL AVE
LOS ANGELES, CA 90089
Los Angeles County (323) 442-1100

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 Jackson Baker's NPI number?

The NPI number for Jackson Baker is 1528810074. It was assigned to this individual provider in the NPPES registry on April 5, 2024.

Where is Jackson Baker located?

Jackson Baker practices at 1975 Zonal Ave, Los Angeles, CA 90089. The listed phone number is (847) 630-8442.

What is Jackson Baker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jackson Baker enrolled in Medicare?

Yes. Jackson Baker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackson Baker was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.