Individual provider Active NPI

Annfil Villamor Balista, RN, BSN

  • Hemodialysis Registered Nurse
  • Fresno, CA
National Provider Identifier
1457217325
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hemodialysis Registered NurseTaxonomy code 163WH0500X
License
95073799 Issued in CA
Practice address
770 W Pinedale Ave
Fresno, CA 93711-5744
Phone
(559) 438-8512
NPI assigned
Jan 5, 2026
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hemodialysis Registered Nurse 163WH0500X 95073799 CA Primary

Addresses

Primary practice location

770 W Pinedale Ave
Fresno, CA 93711-5744

Mailing address

770 W Pinedale Ave
Fresno, CA 93711-5744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 Continental Blvd
Suite 560
El Segundo, CA 90245-5016

770 W Pinedale Ave
Fresno, CA 93711-5744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95073799CAMDHemodialysis Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1457217325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W PINEDALE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W PINEDALE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115744",
            "telephone_number": "559-438-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALISTA",
        "first_name": "ANNFIL",
        "middle_name": "VILLAMOR",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "CA",
            "license": "95073799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.