Individual provider Active NPI

Abegail Chrystel Balotro, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1073325817
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95031721 Issued in CA
Practice address
400 Parnassus Ave Ste A2300
San Francisco, CA 94143-2202
Phone
(415) 353-2739
Fax
(415) 353-2176
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95031721 CA Primary

Addresses

Primary practice location

400 Parnassus Ave Ste A2300
San Francisco, CA 94143-2202

Mailing address

32 Twelveoak Hill Dr
San Rafael, CA 94903-1728
Phone (626) 675-6234

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250507002882 CA Practitioner - Nurse Practitioner 8426575069 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95031721CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Current Accepting new patients
UCSF Dept of Surgery CurrentSince Apr 24, 2025 Accepting new patients
UCSF Medical Group Business Services Acute Care CurrentSince Apr 24, 2025 Accepting new patients
Regents of the University of California CurrentSince Apr 24, 2025 Accepting new patients
University of California San Francisco CurrentSince Apr 24, 2025 Accepting new patients
University of California San Francisco CurrentSince Apr 24, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 24, 2025 Accepting new patients
UCSF Pediatrics Associates CurrentSince Apr 24, 2025 Accepting new patients

Locations

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
Ste A2300
San Francisco, CA 94143
Phone (415) 353-2739

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

Interoperability endpoints

  • Direct secure messaging: abalotro53512@direct-ucsfmedicalcenter.org

Organizations & group practices 8

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": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1073325817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 TWELVEOAK HILL DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031728",
            "telephone_number": "626-675-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARNASSUS AVE STE A2300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432202",
            "telephone_number": "415-353-2739",
            "fax_number": "415-353-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOTRO",
        "first_name": "ABEGAIL",
        "middle_name": "CHRYSTEL",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95031721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.