Individual provider Active NPI

David Balyozian, M.D.

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1487180642
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A157351 Issued in CA
Practice address
3020 Childrens Way # Mc5124
San Diego, CA 92123-4223
Phone
(858) 966-6764
NPI assigned
May 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A157251 CA
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X A157351 CA Primary

Addresses

Primary practice location

3020 Childrens Way # Mc5124
San Diego, CA 92123-4223

Mailing address

3020 Childrens Way # Mc5124
San Diego, CA 92123-4223

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201023001660 CA Practitioner - Pediatric Medicine 0042630402 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A157251CAMDAnesthesiology Physician
A157351CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Nov 7, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 7, 2024 Accepting new patients
UCSF Psychiatry Psychiatry CurrentSince Nov 6, 2024 Accepting new patients
San Francisco Child Psychiatry Psychiatry Current Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Nov 7, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 7, 2024 Accepting new patients

Locations

225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002

675 18th St
San Francisco, CA 94143
Phone (415) 476-7527

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

675 18th St
#5250
San Francisco, CA 94143
Phone (415) 502-2413

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527

2211 Post St
Ste 300
San Francisco, CA 94115
Phone (415) 483-9223

401 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-7500

Interoperability endpoints

  • Direct secure messaging: dbalyozian236780@direct-ucsfmedicalcenter.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1487180642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5124",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5124",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALYOZIAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A157251",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A157351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "6041 Cadillac Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900341702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.