Individual provider Active NPI

Lauren Balbas, MS, PA-C

  • Physician Assistant
  • Laguna Niguel, CA
National Provider Identifier
1417352345
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
52096 Issued in CA
Practice address
27995 Greenfield Dr Ste C
Laguna Niguel, CA 92677-4432
Phone
(949) 360-4400
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 52096 CA Primary

Addresses

Primary practice location

27995 Greenfield Dr Ste C
Laguna Niguel, CA 92677-4432

Mailing address

27995 Greenfield Dr Ste C
Laguna Niguel, CA 92677-4432
Phone (949) 360-4400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150320000719 CA Practitioner - Physician Assistant 0749507200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Pure DermatologyGroup PAC ID 7416192323, 7 clinicians

Practice addresses (Care Compare)

500 Superior Ave
Suite 335
Newport Beach, CA 92663-3681
Phone (949) 706-1469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
52096CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Center of Pure PastSince Aug 30, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1417352345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27995 GREENFIELD DR STE C",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774432",
            "telephone_number": "949-360-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27995 GREENFIELD DR STE C",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774432",
            "telephone_number": "949-360-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBAS",
        "first_name": "LAUREN",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.