Emma Noemi Balderas Cook, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA19711 Issued in CA

Practice address

1900 Royalty Dr Ste 250
Pomona, CA 91767-3043

Phone

(909) 865-5777

NPI assigned

Jul 3, 2008

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: emma.balderascook@628006648872964.direct.elationemr.com

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.

• Primaria Medical Clinic

  • Family Medicine Physician
  • Corona, CA
  • NPI 1306070826
  Medicare reassignment

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1124281746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ROYALTY DR STE 250",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673043",
            "telephone_number": "909-865-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ROYALTY DR STE 250",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673043",
            "telephone_number": "909-865-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERAS COOK",
        "first_name": "EMMA",
        "middle_name": "NOEMI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry G Bakhit, RPH
• Orel Bakhshizadeh
• Irene Bakman, MD
• Arjun C Bakshi, DO
• Sunil Vyas Balamurugan
• Stephanie Baligod
• Sean Balkcom, PA-C
• Benjamin Zachary Ball, MD
• Gillian Ball
• Simon Ball, DPM

• Medical Physician Assistant in Pomona, CA
• Providers in Pomona, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.

Verify at the official NPI Registry.