Eduard Balasanian, D.D.S., M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

48702 Issued in CA

Practice address

26302 La Paz Rd
Suite 102
Mission Viejo, CA 92691-5313

Phone

(949) 586-7000

Fax

(949) 586-0158

NPI assigned

Jan 31, 2007

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Western Anesthesia Medical Associates Inc

  • Anesthesiology Physician
  • Mission Viejo, CA
  • NPI 1497796320
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1346387362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD",
            "address_2": "SUITE 102",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915313",
            "telephone_number": "949-586-7000",
            "fax_number": "949-586-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26302 LA PAZ RD",
            "address_2": "SUITE 102",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915313",
            "telephone_number": "949-586-7000",
            "fax_number": "949-586-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALASANIAN",
        "first_name": "EDUARD",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "48702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Suzanne Bailey, PH.D.
• Thomas Sample Bailey Jr., MD
• Amber Baker, PH.D.
• Robert Alan Baker
• Balanced Health and Wellness, a Nursing Corporation
• Mario Joseph Balderas Jr.
• Regina Mariano Baldo, FNP-C
• Mariah Kristine Baldwin, CCC-SLP
• Ballard Dental Corporation
• Connie Ballard, RDN

• Oral and Maxillofacial Surgery (Dentist) in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.