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

Dr. Jacqueline J. Bae, MD

Individual provider Counselor · NPI 1245521749

Dr. Jacqueline J. Bae, MD is a Counselor in Lakeport, California. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

925 Bevins Ct
Lakeport, CA 95453-9754
Phone: (707) 263-8382
Fax: (707) 263-0329
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nutrition Education Nutritionist (primary) Taxonomy 133NN1002X
Counselor Taxonomy 101Y00000X

Record details

NPI number1245521749
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2011
Last updated in NPPESMay 2, 2011
Mailing addressPo Box 1558, Lakeport, CA 95453-1558

Other providers in Lakeport