Active NPI
Edward a. Balbas, P.C.
Doing business as OC Back & Body Doctors
- Physical Medicine & Rehabilitation Physician
- Irvine, CA
National Provider Identifier
1407149297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A89036
- Legal business name
- EDWARD A. BALBAS, P.C.
- Doing business as
- OC Back & Body Doctors
- Practice address
- 17264 Red Hill Ave
Irvine, CA 92614-5628 - Phone
- (949) 724-0011
- Fax
- (949) 724-0012
- NPI assigned
- May 26, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Desiree D Edlund, D.C.
- Title
- President
- Phone
- (949) 724-0011
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A89036 | CA | Primary |
| Physical Therapist | 225100000X | PT35232 | CA |
Addresses
Primary practice location
17264 Red Hill Ave
Irvine, CA 92614-5628
Mailing address
17264 Red Hill Ave
Irvine, CA 92614-5628
Phone (949) 724-0011
Other names 1
- OC Back & Body Doctors
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423612800000",
"number": "1407149297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17264 RED HILL AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145628",
"telephone_number": "949-724-0011",
"fax_number": "949-724-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17264 RED HILL AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145628",
"telephone_number": "949-724-0011",
"fax_number": "949-724-0012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD A. BALBAS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-26",
"last_updated": "2015-02-11",
"status": "A",
"authorized_official_last_name": "EDLUND",
"authorized_official_first_name": "DESIREE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-724-0011",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A89036",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT35232",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OC Back & Body Doctors",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.