Individual provider Active NPI

Peter Panes Balingit, MD

  • Internal Medicine Physician
  • Sylmar, CA
National Provider Identifier
1114952264
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A69847 Issued in CA
Practice address
14445 Olive View Dr
2B182
Sylmar, CA 91342-1437
Phone
(818) 364-3205
Fax
(818) 364-4573
NPI assigned
Jul 11, 2006
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A69847 CA Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X A69847 CA

Addresses

Primary practice location

14445 Olive View Dr
2B182
Sylmar, CA 91342-1437

Mailing address

14445 Olive View Dr
2B-182
Sylmar, CA 91342-1437
Phone (747) 210-3205

Other identifiers 1

IdentifierTypeStateIssuer
00A698470MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051103000548 CA Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 3375561814 Practice locations: Sylmar, CA; West Covina, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
69847CAMDPharmacist
A69847CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mhiramarc Management LLC PastSince Nov 14, 2006 Accepting new patients
Nexus Legacy, Inc. PastSince Jul 25, 2021 Accepting new patients
Omni Health Care Management Inc. PastSince Apr 8, 2008 Accepting new patients
Mhiramarc Management LLC Home Health Services PastSince Apr 30, 2003 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mhiramarc Management LLC Home Health ServicesPanorama City, CA, CCN 059325 Home health agency Corporate Director Jan 14, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1114952264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14445 OLIVE VIEW DR",
            "address_2": "2B-182",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421437",
            "telephone_number": "747-210-3205",
            "fax_number": "747-210-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 OLIVE VIEW DR",
            "address_2": "2B182",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421437",
            "telephone_number": "818-364-3205",
            "fax_number": "818-364-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALINGIT",
        "first_name": "PETER",
        "middle_name": "PANES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A69847",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A69847",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A698470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.