Active NPI
Anna Balash, AUD
- Audiologist
- Orange, CA
National Provider Identifier
1104233642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU 3189
- Practice address
- 1301 W Providence Ave
Orange, CA 92868-3808 - Phone
- (714) 639-4990
- NPI assigned
- Jul 16, 2014
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU 3189 | CA | Primary |
Addresses
Primary practice location
1301 W Providence Ave
Orange, CA 92868-3808
Mailing address
1301 W Providence Ave
Orange, CA 92868-3808
Other names 1
- Anna Fry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181220003206 | CA | Practitioner - Qualified Audiologist | 3173868064 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU 3189 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital of Orange County | Current | Accepting new patients | |
| Pediatric Subspecialty Faculty, Inc. | Past | Accepting new patients | |
| Children'S Hospital of Orange County | Past | Accepting new patients |
Locations
1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481
Dept LA 21333
Pasadena, CA 91185
Organizations & group practices 3
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.
-
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- Pediatrics Physician
- Orange, CA
- NPI 1790850279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1104233642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 W PROVIDENCE AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W PROVIDENCE AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683808",
"telephone_number": "714-639-4990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALASH",
"first_name": "ANNA",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU 3189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "FRY",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.