Ali Balouch, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60521 Issued in CA

Practice address

8628 Van Nuys Blvd # 200
Panorama City, CA 91402-2913

Phone

(818) 396-3999

NPI assigned

Nov 19, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Balouch DDS Corporation

  • Dental Clinic/Center
  • Panorama City, CA
  • NPI 1508485640
  NPD Authorized official

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1073159596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 ANDENES DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081910",
            "telephone_number": "818-396-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8628 VAN NUYS BLVD # 200",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022913",
            "telephone_number": "818-396-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOUCH",
        "first_name": "ALI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flavius Lucian Baiesc, PHARM.D.
• Floyd Bailey, RRT
• Katherine Bailey
• Asha J. Bakhru, MD
• Balouch DDS Corporation
• Jennilyn Banal, PMHNP
• Meghana Bandlamuri, MD
• Thomas Danh Bang, RPH
• Sharon J Bangalan, DPM
• Ulysses Villamil Baniga, M.D.

• General Practice Dentistry in Panorama City, CA
• Providers in Panorama City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.