MEDICARE: DIANE J BAAS PA-C

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	363A00000X	Physician Assistant	PA61458	CA

General Provider Information

NPI Number	:	1053358648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE J BAAS PA-C

Provider Business Mailing Address
First Line	:	1255 LIBERTY ST
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96001-0814
Country	:	US
Telephone Number	:	530-246-2467
Fax Number	:	530-242-9460

Provider Business Practice Location Address
First Line	:	1255 LIBERTY ST
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96001-0814
Country	:	US
Telephone Number	:	530-246-2467
Fax Number	:	530-242-9460

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	05/15/2024

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Directions to “ DIANE J BAAS PA-C” Practice Location

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