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

Dr. Randolph P Baca Jr., MD

Individual provider Psychiatry Physician · NPI 1790982643

Dr. Randolph P Baca Jr., MD is a Psychiatry in Albuquerque, New Mexico. Graduated from University of New Mexico School of Medicine in 2007, 19 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
19
Trained at
University of New Mexico School of Medicine
Licensed in
NM
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1003 Luna Cir NW
Albuquerque, NM 87102-1973
Phone: (505) 504-5505
Fax: (505) 214-5614
Show map & directions

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

Additional practice locations (1)

  • 5801 Osuna Rd Ne, Albuquerque, NM 87109 — (505) 504-5505

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence AG3361893-B416 (NM)

Record details

NPI number1790982643
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 2, 2007
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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