Individual provider Active NPI

Sergio Arturo Balli, D.C.

  • Chiropractor
  • Fresno, CA
National Provider Identifier
1154472249
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 29667 Issued in CA
Practice address
6789 N Willow Ave Ste 101
Fresno, CA 93710-5959
Phone
(559) 298-6325
Fax
(559) 298-6322
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 29667 CA Primary

Addresses

Primary practice location

6789 N Willow Ave Ste 101
Fresno, CA 93710-5959

Mailing address

6789 N Willow Ave Ste 101
Fresno, CA 93710-5959
Phone (559) 298-6325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050523000753 CA Practitioner - Chiropractic 3476594847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6789 N Willow Ave
Suite 101
Fresno, CA 93710-5959
Phone (559) 298-6325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 29667CAMDChiropractor
29667CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sergio Balli Chiropractic, Inc. Chiropractor CurrentSince Jun 22, 2021 Accepting new patients
Preferred Chiropractic Center Chiropractor CurrentSince Aug 15, 2010 Accepting new patients
Eric Johnson Chiropractic Incorporated Chiropractor PastSince Dec 27, 2004 Accepting new patients
Matthew Vinson Chiropractic a Professional Corporation Chiropractor Past Accepting new patients

Locations

1305 N Willow Ave
Ste 160
Clovis, CA 93619
Phone (559) 298-6325

6789 N Willow Ave
Ste 101
Fresno, CA 93710
Phone (559) 298-6325

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1154472249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6789 N WILLOW AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105959",
            "telephone_number": "559-298-6325",
            "fax_number": "559-298-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6789 N WILLOW AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105959",
            "telephone_number": "559-298-6325",
            "fax_number": "559-298-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLI",
        "first_name": "SERGIO",
        "middle_name": "ARTURO",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2021-05-25",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 29667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.