Peter Bales, M.D., Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G63997 Issued in CA

Legal business name

PETER BALES, M.D., INC.

Practice address

1613 Eureka Rd
Suite 100
Roseville, CA 95661-3029

Phone

(916) 788-8201

Fax

(916) 788-8205

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter Bales, M.D.

Title

Owner

Phone

(916) 788-8201

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457400558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956500044",
            "telephone_number": "916-788-8201",
            "fax_number": "916-788-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 EUREKA RD",
            "address_2": "SUITE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613029",
            "telephone_number": "916-788-8201",
            "fax_number": "916-788-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER BALES, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALES",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-788-8201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G63997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G639970",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI",
            "identifier": "1669568994",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Elliott Perry Jr.
• Olena Perry, MD
• Stephanie R Perry
• Diamond Lateea Perryman
• Pes-Ebs.Inc.
• Stephen Robert Peters, M.D.
• Randy Petersen, ND (TRADITIONAL)
• Alan Gunnar Peterson, PA
• Barry Alan Peterson, PHARMD
• Bart J Peterson, PA

• Orthopaedic Surgery Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.