Individual provider Active NPI

Jovana Balkis, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1235116039
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA22508 Issued in CA
Practice address
9601 S Sepulveda Blvd
Los Angeles, CA 90045-5203
Phone
(310) 215-6020
NPI assigned
Dec 22, 2005
Last updated
Dec 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA22508 CA Primary

Addresses

Primary practice location

9601 S Sepulveda Blvd
Los Angeles, CA 90045-5203

Mailing address

13603 Marina Pointe Dr
Apt B608
Marina del Rey, CA 90292-5583
Phone (424) 302-7640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110325000005 FL Practitioner - Physician Assistant 4587847751 Reassigns benefits to 2 organizations
I20150424002336 CA Practitioner - Physician Assistant 4587847751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

14701 S Military TRL
Delray Beach, FL 33484-8152
Phone (561) 865-4702

2181 N Federal Hwy
Boca Raton, FL 33431-7707
Phone (561) 387-3500

2502 N Federal Hwy
Lighthouse Point, FL 33064-6856
Phone (954) 943-3880

4455 Medical Ctr Way
West Palm Beach, FL 33407-3244
Phone (561) 881-0066

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

5216 N Federal Hwy
Ft. Lauderdale, FL 33308-3202
Phone (954) 958-5858

601 Linton Blvd
Delray Beach, FL 33444-8149
Phone (561) 276-2270

9650 Pines Blvd
Pembroke Pines, FL 33024-6241
Phone (954) 885-9009

9690 Glades Rd
Unit 425
Boca Raton, FL 33434-4015
Phone (561) 449-2322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
22508CAMDSpeech-Language Pathologist
PA22508CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Feb 20, 2023 Accepting new patients
American Current Care P.a. CurrentSince Sep 10, 2018 Accepting new patients
Pih Health Physicians CurrentSince Apr 10, 2017 Accepting new patients
Pih Health Physicians CurrentSince Apr 10, 2017 Accepting new patients
American Current Care PA CurrentSince Sep 10, 2018 Accepting new patients
Reliant Immediate Care Medical Group, Inc. PastSince May 7, 2023 Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

15733 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-7754

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

1036 Dunn Ave
Ste 10
Jacksonville, FL 32218
Phone (904) 903-5520

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

7800 NW 25th St
Ste 4
Miami, FL 33122
Phone (305) 593-2174

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

4455 Medical Center Way
West Palm Beach, FL 33407
Phone (561) 881-0066

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1235116039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13603 MARINA POINTE DR",
            "address_2": "APT B608",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925583",
            "telephone_number": "424-302-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 S SEPULVEDA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455203",
            "telephone_number": "310-215-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALKIS",
        "first_name": "JOVANA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.