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

Dr. Emmanuel Kwame Baidoo Jr., DO

Individual provider Family Medicine Physician · NPI 1831319516

Dr. Emmanuel Kwame Baidoo Jr., DO is a Family Practice in Fontana, California. Qualified in 2004, 22 years ago. Practices with Beaver Medical Group P C, a 255-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

17051 Sierra Lakes Pkwy Ste 103
Fontana, CA 92336-1274
Phone: (909) 770-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1700 N Waterman Ave, San Bernardino, CA 92404-5115 — (909) 883-8611

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A9954 (CA)

Record details

NPI number1831319516
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 26, 2007
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Beaver Medical Group P C — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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