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General NPI Number Information
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NPI Number | 1992970602
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Entity Type | Individual
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Provider Name | CLYDE GREGORY BAKER MD
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Gender | Male
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1150 N INDIAN CANYON DR
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City | PALM SPRINGS
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State | CA
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Zip | 92262-4872
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Country | US
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Telephone | 760-323-6511
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Fax | 706-653-1162
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Provider Business Mailing Address
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Address Line | DEPT 354 PO BOX 509015
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City | SAN DIEGO
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State | CA
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Zip | 92150-9015
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Country | US
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Telephone | 800-406-4558
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Fax | 706-653-1162
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 260746
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | C199874
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License Number State | CA
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