NPIMap

Individual provider Active NPI

Ambika Bali, MD

  • Gastroenterology Physician
  • Anaheim, CA
National Provider Identifier
1427096478
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A51761 Issued in CA
Practice address
1211 W la Palma Ave Ste 409
Anaheim, CA 92801-2806
Phone
(714) 999-0909
Fax
(714) 917-7109
NPI assigned
Jun 3, 2006
Last updated
Feb 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A51761 CA Primary

Addresses

Primary practice location

1211 W la Palma Ave Ste 409
Anaheim, CA 92801-2806

Mailing address

PO Box 5216
Buena Park, CA 90622-5216
Phone (714) 999-0909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060131000929 CA Practitioner - Gastroenterology 2567407802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1974
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1211 W la Palma Ave
Suite 409
Anaheim, CA 92801-2806
Phone (714) 999-0909

5216 PO Box
Buena Park, CA 90622

P O Box
Suite 5216
Buena Park, CA 90622-5216

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy100
Upper gastrointestinal (GI) endoscopy for acid reflux40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51761CAMDGeneral Practice Dentistry
A51761CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ambika Bali MD Inc Gastroenterology CurrentSince Mar 10, 1994 Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 409
Anaheim, CA 92801
Phone (714) 879-6009

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: abali@ambikabalimd.adaptamed.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1427096478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5216",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906225216",
            "telephone_number": "714-999-0909",
            "fax_number": "714-917-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 409",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012806",
            "telephone_number": "714-999-0909",
            "fax_number": "714-917-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALI",
        "first_name": "AMBIKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A51761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.