Gerald M Baltz, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

19710 Issued in CA

Practice address

8060 Melrose Ave Ste 200
Los Angeles, CA 90046-7037

Phone

(323) 391-4830

Fax

(323) 978-2546

NPI assigned

Mar 27, 2009

Last updated

Jun 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

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

• Baltz Psychiatry Nursing, Inc.

  dba MelrosePsych

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1578896197
  Authorized official Same address or phone
• Elite Psychiatric Services, LLC

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1144428137
  NPD (past)
• Gateway Health Care Inc

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1700066370
  NPD (past)

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1427290030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 3/4 N HAYWORTH AVE",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900463809",
            "telephone_number": "323-391-4830",
            "fax_number": "323-978-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 MELROSE AVE STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467037",
            "telephone_number": "323-391-4830",
            "fax_number": "323-978-2546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 3/4 N Hayworth Ave",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900463809",
            "country_code": "US",
            "telephone_number": "323-331-0682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALTZ",
        "first_name": "GERALD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "19710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Baltierrez Fernandez
• Baltimo Medical Center Inc
• Alexander Francois Baltodano, MD
• Joseph Baltrushes
• Baltz Psychiatry Nursing, Inc. (MelrosePsych)
• James Baltz
• Ingrid Soraida Baltzer Bauer, LCSW
• Abhinav Hariiyer Balu, M.D.
• Jennifer P Balucan, M.D.
• Zulu Karen Balumbu-Bennett

• Psychiatric/Mental Health Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.