Organization Active NPI

Norman P. Balacuit DPM Inc

  • Podiatrist
  • Monrovia, CA
National Provider Identifier
1124599600
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
NORMAN P. BALACUIT DPM INC
Practice address
416 S Myrtle Ave
Monrovia, CA 91016-2812
Phone
(626) 357-7721
Fax
(626) 357-7721
NPI assigned
Dec 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Dr. Norman Balacuit, DPMNPI 1972561835
Title
Podiatrist/Owner
Phone
(909) 717-8327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

416 S Myrtle Ave
Monrovia, CA 91016-2812

Mailing address

PO Box 851
Monrovia, CA 91017-0851
Phone (909) 717-8327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190510001373 CA Part B Supplier - Clinic/Group Practice 4183967342 Receives reassigned benefits from 1 practitioner
Practice locations: Monrovia, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1124599600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910170851",
            "telephone_number": "909-717-8327",
            "fax_number": "626-357-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S MYRTLE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162812",
            "telephone_number": "626-357-7721",
            "fax_number": "626-357-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN P. BALACUIT DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "BALACUIT",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "909-717-8327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.

Verify at the official NPI Registry.