Individual provider Active NPI

Michelle Ocampo Baladad

  • Case Manager/Care Coordinator
  • Santa Maria, CA
National Provider Identifier
1104057645
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
212 Carmen LN Ste 201
Santa Maria, CA 93458-7771
Phone
(805) 739-8706
Fax
(805) 739-8737
NPI assigned
Jul 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

212 Carmen LN Ste 201
Santa Maria, CA 93458-7771

Mailing address

212 Carmen LN Ste 201
Santa Maria, CA 93458-7771
Phone (805) 739-8706

Other identifiers 1

IdentifierTypeStateIssuer
1952589228OtherCACARES CRISIS RESIDENTIAL NORTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1104057645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CARMEN LN STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587771",
            "telephone_number": "805-739-8706",
            "fax_number": "805-739-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARMEN LN STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587771",
            "telephone_number": "805-739-8706",
            "fax_number": "805-739-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALADAD",
        "first_name": "MICHELLE",
        "middle_name": "OCAMPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARES CRISIS RESIDENTIAL NORTH",
            "identifier": "1952589228",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.