TIMOTHY J BAKER CCP NPI 1508169988

NPI Information

Timothy J Baker, CCP is a perfusionist in Fontana, CA. The provider is a perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. Timothy J Baker, CCP NPI is 1508169988. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15239 PORTICO LN
FONTANA, CA
ZIP 92336-021
Phone: (909) 740-4114
Fax: (909) 591-8343

The enumeration date for this NPI number is 12/7/2010 and was last updated on 12/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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