Andrew Cory Balcorta

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

AFBDEA267F Issued in CA

Practice address

14200 Runnymede St
Van Nuys, CA 91405-1435

Phone

(818) 389-1184

NPI assigned

Apr 1, 2025

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Girls Athletic Leadership Schools Los Angeles

  • Local Education Agency (LEA)
  • Van Nuys, CA
  • NPI 1548080898
  NPD

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1275337255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20652 LASSEN ST SPC 62",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913110662",
            "telephone_number": "818-414-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 RUNNYMEDE ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051435",
            "telephone_number": "818-389-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCORTA",
        "first_name": "ANDREW",
        "middle_name": "CORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "AFBDEA267F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben Bakr
• Abiram Bala, MD
• Anuradha Balaggan, DDS
• Balbir Singh, M.D., Inc.
• Balboa Hospice Care Inc
• Valorie Nicole Balderas, RADT
• Balderrama Medical Clinic
• Erick Ronald Balderrama, M.D.
• Frank Jhon Balderrama, M.D.
• Virginia B Baldioli, LMFT MARRIAGE & FAMI

• Health & Wellness Coach in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Health & Wellness Coach 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.