Provider Demographics
NPI:1568826170
Name:BAKER, COURTNEY CHRISTINE (MD, MPH)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:CHRISTINE
Last Name:BAKER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:CHRISTINE
Other - Last Name:KAUFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2315 STOCKTON BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2315 STOCKTON BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2201
Practice Address - Country:US
Practice Address - Phone:916-734-6670
Practice Address - Fax:916-734-6047
Is Sole Proprietor?:No
Enumeration Date:2016-04-09
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA167766207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology