Pamela Balch Maes, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NPF4846 Issued in CA

Practice address

5108 Hill Rd E
Lakeport, CA 95453-6300

Phone

(707) 262-1840

Fax

(707) 262-5844

NPI assigned

Aug 10, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1013918200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 MENDOCINO AVE",
            "address_2": "STE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033634",
            "telephone_number": "707-525-6485",
            "fax_number": "707-262-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 HILL RD E",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954536300",
            "telephone_number": "707-262-1840",
            "fax_number": "707-262-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAES",
        "first_name": "PAMELA",
        "middle_name": "BALCH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF4846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN238471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Louton
• Alexander Iwan-Smereka Ludwig, DO
• Joshua Dale Lunn
• Jane Schwartz Maclean, NP
• Gary Lynn Maes, M.D.
• Felecia Maldonado
• Adriana Marquez
• Elmezen Oliverio Martin, RDHAP
• Lemuel Campomanes Martin, PT
• Nicole R Martinez, REGISTERED NURSE

• Family Nurse Practitioner in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.