Vanessa Ann Baca | Oakland, CA • PECOS Search

Vanessa Ann Baca

Counselor

Behavioral Health & Social Service Providers

3408 Andover St, Oakland, CA 94609-2817

PECOS Enrollment

Based on the most recent information from CMS, provider Vanessa Ann Baca does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1740144765
Provider Type
Individual
Full Name
Baca, Vanessa Ann
Gender
Male

Sole Proprietor
Yes
Enumeration Date
12/13/2025
Last Updated
12/13/2025

Contact Information

Practice Location

3408 Andover St, Oakland, CA 94609-2817

Unlisted Fax

Mailing Location

3408 Andover St, Oakland, CA 94609-2817

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License 23120 California