Richard S Baldonado, RVT

Primary specialty

Vascular Specialist/Technologist CardiovascularTaxonomy code 246XC2903X

License

80940 Issued in CA

Practice address

3534 Santa Carlotta St
La Crescenta, CA 91214-1115

Phone

(818) 957-1652

Fax

(818) 957-4672

NPI assigned

Nov 15, 2012

Last updated

Nov 15, 2012By the provider in NPPES

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

Practice roles

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.

• American Mobile Diagnostics Inc

  • Vascular Specialist/Technologist Cardiovascular
  • Glendale, CA
  • NPI 1720207616
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1295079259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 SANTA CARLOTTA ST",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141115",
            "telephone_number": "818-957-1652",
            "fax_number": "818-957-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 SANTA CARLOTTA ST",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141115",
            "telephone_number": "818-957-1652",
            "fax_number": "818-957-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDONADO",
        "first_name": "RICHARD",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "RVT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "CA",
            "license": "80940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evlyn Avanessian, M.D
• Avanti Care Inc
• Maria Avedissian, LMFT
• Christina Azatyan, PHARMD
• Nolan Bagalso
• Erika Leigh Bandy, PT, DPT
• Sydney Lee Barney, PHARMD
• Jeanna M Barsamian, DPT, OCS, ATC, CSCS
• Bolis Batou, RPH
• Nitika Batra

• Cardiovascular Specialist/Technologist in La Crescenta, CA
• Providers in La Crescenta, CA by specialty
• Cardiovascular Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.