Aira Marie Balmaceda Gusilan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

65091 Issued in CA

Practice address

9001 Wilshire Blvd Ste 202
Beverly Hills, CA 90211-1841

Phone

(310) 860-9502

NPI assigned

Sep 20, 2024

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

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.

• K. Alex Kim, M.D., a Medical Corporation

  dba Brooks Surgery Center Medical Associates

  • Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1942575980
  Medicare reassignment

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1134946221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24140 MIDVALE CT",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928833611",
            "telephone_number": "619-215-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD STE 202",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111841",
            "telephone_number": "310-860-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSILAN",
        "first_name": "AIRA MARIE",
        "middle_name": "BALMACEDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "65091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navyash Gupta, M.D.
• Pritha Payel Gupta, MD
• Rahul Gupta, M.D
• Reena Gupta, M.D.
• Victor Gura, MD
• Jennifer Christine Gutierrez-Wu, MD
• Melissa Marie Gutierrez, M.D.
• Moishe Zalman Gutnick, MFT
• Guy G Massry, MD Inc (Massry, Guy)
• Alexandra Vittoria Guzman, MFT

• Physician Assistant in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.