Active NPI
Jovana Balkis, PA-C
- Physician Assistant
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA22508
- Practice address
- 9601 S Sepulveda Blvd
Los Angeles, CA 90045-5203 - Phone
- (310) 215-6020
- NPI assigned
- Dec 22, 2005
- Last updated
- Dec 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22508 | CA | MD | Speech-Language Pathologist |
| PA22508 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| Reliant Immediate Care Medical Group, Inc. | Past | 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.
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Pinecrest, FL
- NPI 1770719296
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
- Urology Physician
- Whittier, CA
- NPI 1497418800
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
dba MD Now Urgent Care
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1265107361
-
- Physical Therapist
- Los Angeles, CA
- NPI 1316635097
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.