Individual provider Active NPI

Elizabeth Andrea Bales, M.D.

  • Anesthesiology Physician
  • Newport Beach, CA
National Provider Identifier
1275720682
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A91889 Issued in CA
Practice address
3226 Broad St
Newport Beach, CA 92663-4224
Phone
(949) 410-4207
NPI assigned
Sep 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X A91889 CA
Anesthesiology Physician 207L00000X A91889 CA Primary

Addresses

Primary practice location

3226 Broad St
Newport Beach, CA 92663-4224

Mailing address

3226 Broad St
Newport Beach, CA 92663-4224
Phone (949) 410-4207

Other practice location 1

3047 Scholarship
Irvine, CA 92612-4420
Phone (714) 904-5685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100630000163 CA Practitioner - Anesthesiology 5597804724 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loyola University of Chicago, Stritch School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arash Esmailzadegan MD IncGroup PAC ID 5799073714, 6 clinicians

Practice addresses (Care Compare)

17772 Beach Blvd
Huntington Beach, CA 92647-6819
Phone (714) 843-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A91889CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Creek Anesthesia Services, Inc. Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Arash Esmailzadegan MD Inc Anesthesiology CurrentSince Jan 18, 2026 Accepting new patients
Anesthesia Specialists of Orange County, Inc. Anesthesiology CurrentSince Nov 12, 2017 Accepting new patients
Socal Anesthesia Solutions, Inc Anesthesiology CurrentSince Sep 9, 2023 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jun 1, 2020 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jun 1, 2020 Accepting new patients
Gary Chinghuei Kao MD Inc Anesthesiology Past Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology Past Accepting new patients

Locations

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

18111 Brookhurst St
Ste 3200
Fountain Vly, CA 92708
Phone (714) 369-1100

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

18111 Brookhurst St
Fountain Vly, CA 92708
Phone (714) 369-1100

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

Interoperability endpoints

  • Direct secure messaging: ebales693843@hisp.ehr.sutterhealth.org
  • Direct secure messaging: ebales214384@westdirect.optum.com

Organizations & group practices 10

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": "1191024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1275720682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 BROAD ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634224",
            "telephone_number": "949-410-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 BROAD ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634224",
            "telephone_number": "949-410-4207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3047 Scholarship",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926124420",
            "country_code": "US",
            "telephone_number": "714-904-5685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALES",
        "first_name": "ELIZABETH",
        "middle_name": "ANDREA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-29",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "CA",
            "license": "A91889",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A91889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.