ANDREWE BACA MD
NPI 1972109742
Student in an Organized Health Care Education/Training Program in Glendale, AZ

Active since December 08, 2020
18701 N 67TH AVE, GLENDALE, AZ 85308(623) 561-1000 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2026, Nov 13, 2021, Dec 8, 2020 (3 updates tracked since 2020).

About Andrewe Baca Md NPPES

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

ANDREWE BACA MD (NPI 1972109742) is an individual student in an organized health care education/training program in Glendale, Arizona and active in the NPI registry since December 2020. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972109742
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREWE BACACredential: MD
Location Address18701 N 67TH AVEGlendale, AZ 85308-7100
Mailing Address12 Calle CristovalSanta Fe, NM 87507-3716
Sole ProprietorNo
Enumeration DateDecember 8, 2020
Last NPPES UpdateMarch 27, 20263 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
NPI 1972109742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
18701 N 67TH AVE, Glendale, AZ 85308

Secondary Practice Locations 2

Location 113677 W McDowell RdGoodyear, AZ 85395-2635 · Phone (623) 882-1500
Location 21930 E Thomas RdPhoenix, AZ 85016-7711 · Phone (602) 532-1000

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.

Internal Medicine
18701 N 67TH AVE
GLENDALE, AZ 85308
Nurse Anesthetist, Certified Registered
18701 N 67TH AVE
GLENDALE, AZ 85308
Nurse Anesthetist, Certified Registered
18701 N 67TH AVE
GLENDALE, AZ 85308
Internal Medicine (Infectious Disease)
18701 N 67TH AVE
GLENDALE, AZ 85308
Nurse Anesthetist, Certified Registered
18701 N 67TH AVE
GLENDALE, AZ 85308
Surgery
18701 N 67TH AVE
GLENDALE, AZ 85308
Hospitalist
18701 N 67TH AVE
GLENDALE, AZ 85308
Internal Medicine
18701 N 67TH AVE
GLENDALE, AZ 85308

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 Andrewe Baca's NPI number?

The NPI number for Andrewe Baca is 1972109742. It was assigned to this individual provider in the NPPES registry on December 8, 2020.

Where is Andrewe Baca located?

Andrewe Baca practices at 18701 N 67th Ave, Glendale, AZ 85308. The listed phone number is (623) 561-1000.

What is Andrewe Baca's specialty?

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

When was this NPI record last updated?

The NPPES record for Andrewe Baca was last updated on March 27, 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.