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Deactivated NPI 1598880353 Deactivated / Inactive NPI Female Practitioner

Dr. Elizabeth Baskerville , MD

Pediatrics • Capitola, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Elizabeth Baskerville has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 20, 2007
NPI Deactivation Date March 16, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Elizabeth Baskerville, MD was a registered Pediatrics practicing in Capitola, CA. Throughout an active medical career spanning 13 years, Dr. Baskerville provided care at the practice location at 4145 CLARES ST until profile deactivation on 2020-03-16.

Practice Location & Contact Primary Location

Practice Address

4145 Clares St
Suite A

Capitola, CA 950102053

Telephone 8314761933
Fax 8314757417
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Capitola, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.3 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
18 Specialists

Practicing in Capitola, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA G16733

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1598850174

Doctor of Osteopathic Medicine (D.O.)

NPI 1902015548

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 16, 2020

Record deactivated on March 16, 2020

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 4145 CLARES ST, SUITE A, CAPITOLA, CA 950102053 (Tel: 8314761933)

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Updated Business Mailing Address July 09, 2007

Registered at 4145 CLARES ST, SUITE A, CAPITOLA, CA 950102053 (Tel: 8314761933)

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Provider Name / Credentials Updated July 09, 2007

Recorded as ELIZABETH BASKERVILLE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Pediatrics (License #G16733 in CA)

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Initial NPI Registration & Enumeration March 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598880353
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2007
Last Update: July 09, 2007
Deactivation Date: March 16, 2020

Mailing Address

4145 Clares St, Suite A

Capitola, CA 950102053

Phone: 8314761933

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.