Bambi Ballesteros

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

17562 Gladesworth LN
Canyon Country, CA 91387-3807

Phone

(661) 607-4869

NPI assigned

Jan 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1154952240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17562 GLADESWORTH LN",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873807",
            "telephone_number": "661-607-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17562 GLADESWORTH LN",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873807",
            "telephone_number": "661-607-4869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28093 Smyth Dr",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913554023",
            "country_code": "US",
            "telephone_number": "661-295-0181",
            "fax_number": "661-295-9776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLESTEROS",
        "first_name": "BAMBI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Valencia",
            "affiliation": "N",
            "address_1": "28093 Smyth Dr",
            "city": "Valencia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913554023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kamran Azizi, DMD
• Angelo Andre Bagramyan, RN, BSN, PHN
• Bajaj Dhakal Optometric Corporation
• Suparna Bajaj, OD
• Honey Balazadeh, DMD
• Virginia Barnett, LMFT
• Diana Barragan Gomez
• Ophelia G Barte, M.D.
• Gabrielle Marie Bautista, PA-C
• Linda Bedassian, D.C.

• Counselor in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.