Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy J Baker, CCP

Individual provider Perfusionist · NPI 1508169988

Timothy J Baker, CCP is a Perfusionist in Fontana, California. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

15239 Portico Ln
Fontana, CA 92336-1021
Phone: (909) 740-4114
Fax: (909) 591-8343
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X · Licence NONE

Record details

NPI number1508169988
Entity typeIndividual (Type 1)
GenderMale
Credentials CCP
Sole proprietorYes
NPI enumeratedDecember 7, 2010
Last updated in NPPESDecember 7, 2010