Individual provider Active NPI

Guita Balakhane, M.D.,

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1326027806
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G63871 Issued in CA
Practice address
8635 W 3Rd St
Ste# 695W
Los Angeles, CA 90048-6101
Phone
(310) 967-2140
NPI assigned
Jan 12, 2006
Last updated
Dec 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G63871 CA Primary

Addresses

Primary practice location

8635 W 3Rd St
Ste# 695W
Los Angeles, CA 90048-6101

Mailing address

8635 W 3Rd St
Ste# 695W
Los Angeles, CA 90048-6101
Phone (310) 967-2140

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
I20090305000596 CA Practitioner - Geriatric MedicinePractitioner - Internal MedicinePractitioner - Nephrology 7113083775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine, Nephrology
Education
Perelman School of Med at the University of Pennsylvania, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8631 W 3Rd St
Los Angeles, CA 90048-5901
Phone (310) 659-1770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G63871CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Interventional Cardiology & Nephrology Med GP Inc Nephrology CurrentSince Sep 1, 2008 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Center for Advanced Cardiac and Vascular Interventions Past Accepting new patients

Locations

8635 W 3rd St
Ste 695W
Los Angeles, CA 90048
Phone (310) 652-2744

8631 W 3rd St
Ste 815E
West Hollywood, CA 90048
Phone (310) 652-3055

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1326027806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "STE# 695W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-967-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "STE# 695W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-967-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAKHANE",
        "first_name": "GUITA",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G63871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.