JACQUELINE NICOLE BAEZA NPI 1346172251

NPI Information

  • NPI: 1346172251
  • Provider Name: JACQUELINE NICOLE BAEZA
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 19626 VENTURA BLVD STE 225
    TARZANA, CA
    ZIP 91356
  • Phone: (747) 215-2070

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NPI Details

Jacqueline Nicole Baeza is a family nurse practitioner in Tarzana, CA. Jacqueline Nicole Baeza NPI is 1346172251. 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:

19626 VENTURA BLVD STE 225
TARZANA, CA
ZIP 91356-038
Phone: (747) 215-2070

The enumeration date for this NPI number is 6/3/2026 and was last updated on 6/3/2026.

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
1363LF0000XNurse PractitionerFamily95031503CALIFORNIAYes

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: 11/21/2025

NPI Synchronization or Removal

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