Active NPI
Colette Balbarova
- Clinical Social Worker
- Vacaville, CA
National Provider Identifier
1073334538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110240
- Practice address
- 1 Quality Dr
Vacaville, CA 95688-9494 - Phone
- (925) 361-2773
- NPI assigned
- Oct 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110240 | CA | Primary |
Addresses
Primary practice location
1 Quality Dr
Vacaville, CA 95688-9494
Mailing address
52 Golf Club Rd # 102
Pleasant Hill, CA 94523-1524
Phone (925) 361-2773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1073334538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 GOLF CLUB RD # 102",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945231524",
"telephone_number": "925-361-2773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 QUALITY DR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956889494",
"telephone_number": "925-361-2773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALBAROVA",
"first_name": "COLETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-17",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "110240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.