Individual provider Active NPI

Natalia Balytsky, M.D.

  • Anesthesiology Physician
  • Santa Rosa, CA
National Provider Identifier
1326146705
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A83273 Issued in CA
Practice address
98 Montgomery Dr
Ste.C
Santa Rosa, CA 95404-6615
Phone
(707) 591-0619
Fax
(707) 591-0617
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A83273 CA Primary

Addresses

Primary practice location

98 Montgomery Dr
Ste.C
Santa Rosa, CA 95404-6615

Mailing address

98 Montgomery Dr
Ste.C
Santa Rosa, CA 95404-6615
Phone (707) 591-0619

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
I20050121000764 CA Practitioner - Anesthesiology 8426007907 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Pain Management Medical Group IncGroup PAC ID 0547252918, 42 clinicians

Practice addresses (Care Compare)

450 N Wiget LN
Walnut Creek, CA 94598-2408
Phone (925) 482-8151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A83273CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Rehabilitative Consultants Medical Group Anesthesiology CurrentSince Nov 14, 2022 Accepting new patients
Integrated Pain Management Medical Group, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Teodoro P. Nissen M.D., Inc Past Accepting new patients
North Bay Medical Group, Inc. Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

1335 Stanford Ave
Emeryville, CA 94608
Phone (510) 649-7000

1125 Missouri St
Ste 203
Fairfield, CA 94533
Phone (510) 278-2700

4820 Business Center Dr
#220
Fairfield, CA 94534

4820 Business Center Dr
Ste 220
Fairfield, CA 94534
Phone (510) 278-2700

2923 Webster St
Ste 202
Oakland, CA 94609
Phone (510) 451-4142

5789 State Farm Dr
Ste 195
Rohnert Park, CA 94928
Phone (707) 645-7210

1 Daniel Burnham Ct
Ste 365C
San Francisco, CA 94109
Phone (415) 202-1920

999 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 975-7950

1144 Sonoma Ave
Ste 105
Santa Rosa, CA 95405
Phone (707) 202-5606

450 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 413-4960

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326146705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 MONTGOMERY DR",
            "address_2": "STE.C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046615",
            "telephone_number": "707-591-0619",
            "fax_number": "707-591-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 MONTGOMERY DR",
            "address_2": "STE.C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046615",
            "telephone_number": "707-591-0619",
            "fax_number": "707-591-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALYTSKY",
        "first_name": "NATALIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A83273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.