Zachery Chad Baxter
Urologist Female Pelvic Medicine and Reconstructive Surgeon
1260 15th St Ste 1200
Santa Monica
, California 90404
Zachery Chad Baxter
Urologist Female Pelvic Medicine and Reconstructive Surgeon
1260 15th St Ste 1200
Santa Monica
, California 90404
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
- Urologist
Languages spoken
- English
Location
First Address
- Zachery Chad Baxter
- 5767 W Century Blvd Ste 400
- Los Angeles, CA
- Zip : 90045-5631
- Phone :
Second Address
- Zachery Chad Baxter
- 1260 15th St Ste 1200
- Santa Monica, CA
- Zip : 90404
- Fax : (310) 394-5302
- Phone : (310) 451-8751
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A103187 | CA |
| Y | 208800000X | Urologist | A103187 | CA |
National Provider Identifier
| NPI | 1538371679 |
|---|---|
| Provider Name | Zachery Chad Baxter |
| First Address | Los Angeles, CA 90045-5631 |
| Second Address | Santa Monica, CA 90404 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2007 |
| Last Update Date | 26/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0A1031870 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.