Vanessa Baca

NPI 1740144765 · on the registry since 2025 · sole proprietor

Practice

Address: 3408 Andover St
Oakland, CA 94609
Phone: (510) 547-1531
Organisation at this address: Solid Foundation Mandela Ii
Magnolia Women'S Recovery Program Inc.
Magnolia Women'S Recovery Programs, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 32

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-12-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California