DEBRA BAKERJIAN PHD MSN FNP NPI 1306872544

NPI Information

NPI: 1306872544
Provider Name: DEBRA BAKERJIAN, PHD, MSN, FNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
750 GRANT AVE
SUITE 150
NOVATO, CA
ZIP 94945
Phone: (415) 899-9800
Get Directions

Debra Bakerjian, PHD, MSN, FNP is a gerontology nurse practitioner in Novato, CA. Debra Bakerjian, PHD, MSN, FNP NPI is 1306872544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

750 GRANT AVE
SUITE 150
NOVATO, CA
ZIP 94945-001
Phone: (415) 899-9800
Fax: (415) 899-9805

The enumeration date for this NPI number is 6/22/2006 and was last updated on 1/6/2009.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	4924	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4924	OTHER	CALIFORNIA	NP LICENSE NUMBER
2	NP0049240	MEDICAID	CALIFORNIA
3	284559	OTHER	CALIFORNIA	RN LICENSE NUMBER
4	MP0562997	OTHER	CALIFORNIA	DEA NUMBER
5	S90728	MEDICARE UPIN	CALIFORNIA
6	ZZZ17220Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
7	P00637051	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »