Laura Balestreri, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD196572 Issued in OR

Practice address

1322 E McAndrews Rd Ste 202
Medford, OR 97504-6177

Phone

(541) 773-3688

Fax

(541) 773-3125

NPI assigned

Sep 6, 2006

Last updated

Aug 26, 2020By the provider in NPPES

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 OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbalestreri318132@direct.ochin.org

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.

• Rogue Community Health

  • Federally Qualified Health Center (FQHC)
  • Medford, OR
  • NPI 1073511721
  Medicare reassignment NPD
• Rogue Community Health

  • Federally Qualified Health Center (FQHC)
  • Meford, OR
  • NPI 1285965798

  Pediatrics

  NPD
• UCSF Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1922124866
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1154424158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20126 STANTON AVE STE 200",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465270",
            "telephone_number": "510-881-4210",
            "fax_number": "510-881-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E MCANDREWS RD STE 202",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046177",
            "telephone_number": "541-773-3688",
            "fax_number": "541-773-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALESTRERI",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD196572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balancedocs Inc
• Berta P Baldovino Navarro, MD
• Lucinda Baldovino, LCSW
• Jessica Baldwin
• Mariah Kathlyn Baldwin, DMD
• Kimerlea Renee Ball
• Shannon Deidre Ball
• Matthew Scott Ballantyne, RN
• Joanna Lea Ballard
• Elizabeth S Ballergin, CNM

• Pediatrics Physician in Medford, OR
• Providers in Medford, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.