Individual provider Active NPI

Braian Jonue Ballesteros

  • Physical Therapist
  • Fallbrook, CA
National Provider Identifier
1174313373
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307970 Issued in CA
Practice address
521 E Elder St Ste 106
Fallbrook, CA 92028-3082
Phone
(760) 723-8337
Fax
(760) 723-5476
NPI assigned
May 9, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 307970 CA Primary

Addresses

Primary practice location

521 E Elder St Ste 106
Fallbrook, CA 92028-3082

Mailing address

30428 Haun Rd Ste 810
Menifee, CA 92584-6824
Phone (951) 696-9353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250523001463 CA Practitioner - Physical Therapist in Private Practice 0244759199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rancho Physical Therapy IncGroup PAC ID 2365346491, shared by 2 NPIs, 29 clinicians

Practice addresses (Care Compare)

29645 Rancho California Rd
Suite 121
Temecula, CA 92591-5285
Phone (951) 695-5144

521 E Elder St
Suite 106
Fallbrook, CA 92028-3082
Phone (760) 723-8337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince May 10, 2025 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince May 10, 2025 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince May 10, 2025 Accepting new patients

Locations

521 E Elder St
Ste 106
Fallbrook, CA 92028
Phone (760) 723-8337

30428 Haun Rd
Ste 810
Menifee, CA 92584
Phone (951) 723-1866

38605 Calistoga Dr
Ste 140
Murrieta, CA 92563
Phone (951) 304-0879

29645 Rancho California Rd
Ste 121
Temecula, CA 92591
Phone (951) 676-0296

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": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1174313373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30428 HAUN RD STE 810",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925846824",
            "telephone_number": "951-696-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E ELDER ST STE 106",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283082",
            "telephone_number": "760-723-8337",
            "fax_number": "760-723-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTEROS",
        "first_name": "BRAIAN",
        "middle_name": "JONUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.