Organization Active NPI

Edward a. Balbas, P.C.

Doing business as OC Back & Body Doctors

  • Physical Medicine & Rehabilitation Physician
  • Irvine, CA
National Provider Identifier
1407149297
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A89036 Issued in CA
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

Updated by the provider on Feb 11, 2015

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.NPI 1013929199
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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X A89036 CA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.