MEDICARE: MAURICE JAMES BAKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246RP1900X	Phlebotomy Technician	CPT-02159928	CA

General Provider Information

NPI Number	:	1023945607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURICE JAMES BAKER

Provider Business Mailing Address
First Line	:	1300 WORLEY RD
Second Line	:
City	:	SUISUN CITY
State	:	CA
Zip	:	94585-1935
Country	:	US
Telephone Number	:	707-563-7779
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 WORLEY RD
Second Line	:
City	:	SUISUN CITY
State	:	CA
Zip	:	94585-1935
Country	:	US
Telephone Number	:	707-563-7779
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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Directions to “ MAURICE JAMES BAKER ” Practice Location

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