Individual provider Active NPI

Carlee Y Balzaretti, FNP-BC, PMHNP

  • Family Nurse Practitioner
  • Concord, CA
National Provider Identifier
1013426352
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006713 Issued in CA
Practice address
1200 Concord Ave Ste 450
Concord, CA 94520-4959
Phone
(925) 933-2627
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 681672 CA
Community Health Registered Nurse 163WC1500X 681672 CA
Family Nurse Practitioner 363LF0000X 95006713 CA Primary

Addresses

Primary practice location

1200 Concord Ave Ste 450
Concord, CA 94520-4959

Mailing address

2130 Fulton St
San Francisco, CA 94117-1080
Phone (510) 409-1913

Other practice location 1

1801 Vicente St
San Francisco, CA 94116-2923
Phone (415) 681-3211

Other names 1

  • Carlee Y Stewart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind World CurrentSince Jun 23, 2025 Accepting new patients
Youth Homes, Inc. CurrentSince Jun 23, 2025 Accepting new patients
UCSF Medical Group Business Services PastSince Jul 28, 2024 Accepting new patients

Locations

1200 Concord Ave
Ste 450
Concord, CA 94520
Phone (925) 286-5684

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1013426352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 FULTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171080",
            "telephone_number": "510-409-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CONCORD AVE STE 450",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204959",
            "telephone_number": "925-933-2627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Vicente St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941162923",
            "country_code": "US",
            "telephone_number": "415-681-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALZARETTI",
        "first_name": "CARLEE",
        "middle_name": "Y",
        "credential": "FNP-BC, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "681672",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "681672",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLEE",
            "last_name": "STEWART",
            "middle_name": "Y",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.