Juan Roderick Balza Pagsolingan, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4169 Issued in CA

Practice address

210 Canal St
King City, CA 93930-3432

Phone

(831) 385-5471

Fax

(831) 385-5940

NPI assigned

Dec 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Monterey County Memorial HospitalGroup PAC ID 7719883461, 33 clinicians

Soledad Community Health Care DistrictGroup PAC ID 4385635085, shared by 2 NPIs, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roderick.pagsolingan.1@23190.direct.athenahealth.com

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.

• Southern Monterey County Memorial Hospital

  • Critical Access Hospital
  • King City, CA
  • NPI 1114917564
  Medicare reassignment Care Compare group
• County of Monterey

  • General Acute Care Hospital
  • Salinas, CA
  • NPI 1205863255
  Medicare reassignment NPD
• County of Monterey Behavioral Health

  • Adult Mental Health Clinic/Center
  • Salinas, CA
  • NPI 1053126003
  NPD
• Southern Monterey County Memorial Hospital

  • Clinic/Center
  • King City, CA
  • NPI 1841501996
  NPD
• County of Monterey

  • Family Medicine Physician
  • Seaside, CA
  • NPI 1881645158
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1063498749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CANAL ST",
            "city": "KING CITY",
            "state": "CA",
            "postal_code": "939303432",
            "telephone_number": "831-385-5471",
            "fax_number": "831-385-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CANAL ST",
            "city": "KING CITY",
            "state": "CA",
            "postal_code": "939303432",
            "telephone_number": "831-385-5471",
            "fax_number": "831-385-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGSOLINGAN",
        "first_name": "JUAN RODERICK",
        "middle_name": "BALZA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4169",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00E416900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Laura Nolasco
• Lisa Norlander, M.D.
• Oax Trans Express
• Bernadette Zayonara Orellana, MASSAGE THERAPIST
• Jonathan Pace, M.D.
• Anastasia Hiromi Peck
• Barbara Corinne Pekema, RN, FNP
• Hernan Perea
• Samantha Perea
• Martina Perez Ruiz

• Foot & Ankle Surgery Podiatrist in King City, CA
• Providers in King City, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.