Abdel Massih Balta, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC23734 Issued in CA

Practice address

10231 Slater Ave
Ste 113
Fountain Valley, CA 92708-4745

Phone

(714) 968-4446

Fax

(714) 965-4968

NPI assigned

Feb 16, 2007

Last updated

Jun 29, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neck & Back Pain Specialists

  • Chiropractor
  • Fountain Valley, CA
  • NPI 1881738573
  NPD (past) Authorized official
• Neck & Back Pain Specialists, a Balta Chiropractic Corporation

  • Chiropractor
  • Fountain Valley, CA
  • NPI 1124632757
  NPD (past) Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1073657672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10231 SLATER AVE",
            "address_2": "STE 113",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084745",
            "telephone_number": "714-968-4446",
            "fax_number": "714-965-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10231 SLATER AVE",
            "address_2": "STE 113",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084745",
            "telephone_number": "714-968-4446",
            "fax_number": "714-965-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTA",
        "first_name": "ABDEL",
        "middle_name": "MASSIH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Elizabeth Baggelaar
• Mohamad Izzat Bagh, M.D.
• Dorothy E. Baker, RN, CRNFA
• Stacy Marie Baldwin, FNP-BC
• Skylar Ball
• Victoria Lynn Baltazar, PT, DPT
• Michael C Bang, M.D.
• Khanh Ngoc Banh
• Natalie Minh Nguyet Banh
• Adriana Barber

• Chiropractor in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.