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
Mailing address15239 Portico Ln, Fontana, CA 92336-1021