IndividualActive
Gregory Baca, M.D.
NPI 1922171123 · Addiction Psychiatry Physician · Los Alamos, NM
Provider details
- NPI number
- 1922171123
- Entity type
- Individual
- Primary specialty
- Addiction Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD2008-0553 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
464 Central Ave
Suite 4
Los Alamos, NM 87544-3350
Phone: (505) 795-5217
Fax: (505) 747-9696
Street-level locationGet directions
Mailing address
112 Grand Canyon Dr
Los Alamos, NM 87544-3423
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2014-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.