Healthcare Provider Details

I. General information

NPI: 1548101546
Provider Name (Legal Business Name): ALICIA S BAKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 183RD ST # 171P
CERRITOS CA
90703-5342
US

IV. Provider business mailing address

5936 ORANGE AVE APT 18
LONG BEACH CA
90805-3533
US

V. Phone/Fax

Practice location:
  • Phone: 818-633-1006
  • Fax: 562-270-7928
Mailing address:
  • Phone: 818-633-1006
  • Fax: 562-270-7928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number00735647
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number00059074
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number00223016
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: