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NPI Code Detail

MEDICARE: STEVEN C BAKER M.D.

MEDICARE: STEVEN C BAKER M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician174947NE

General Provider Information

NPI Number : 1942269147
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN C BAKER M.D.
Provider Business Mailing Address
First Line : 4301 NORTHSTAR WAY
Second Line :
City : MODESTO
State : CA
Zip : 95356-9262
Country : US
Telephone Number : 209-577-1200
Fax Number : 209-577-6517
Provider Business Practice Location Address
First Line : 4301 NORTHSTAR WAY
Second Line :
City : MODESTO
State : CA
Zip : 95356-9262
Country : US
Telephone Number : 209-577-1200
Fax Number : 209-577-6517
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 04/07/2020

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