Jody Elizabeth Balich, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G52253 Issued in CA

Practice address

1155 Clarendon Cres
Oakland, CA 94610-1807

Phone

(510) 465-3998

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1164529285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 CLARENDON CRES",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101807",
            "telephone_number": "510-465-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 CLARENDON CRES",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101807",
            "telephone_number": "510-465-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALICH",
        "first_name": "JODY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G52253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Joyce Baldwin, M.A.,CCC-S
• Ryan Matthew Balestrery, LMFT
• Michael Alexander Balestrieri
• Kristina Bali
• Marsha Balian, R.N.N.P.
• Christopher Jai Balkissoon, DNP, MSN, FNP-C
• Angela Ball, RN, PHN
• Diane Cora Ball
• Alexandra Ballard, LCSW
• Rachel Rushton Ballard, MD

• Diagnostic Radiology Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.