Provider Demographics
NPI:1376757591
Name:WILLIAM F BAKER JR MD INC
Entity Type:Organization
Organization Name:WILLIAM F BAKER JR MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:661-872-3311
Mailing Address - Street 1:9330 STOCKDALE HWY
Mailing Address - Street 2:300
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-3614
Mailing Address - Country:US
Mailing Address - Phone:661-654-0200
Mailing Address - Fax:661-872-3366
Practice Address - Street 1:9330 STOCKDALE HWY
Practice Address - Street 2:300
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3614
Practice Address - Country:US
Practice Address - Phone:661-654-0200
Practice Address - Fax:661-872-3366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG32298207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G322980Medicare ID - Type UnspecifiedBAKER'S MEDICARE