Jody A Balboa

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

101168 Issued in CA

Practice address

541 N. San Jacinto Ave
Hemet, CA 92544

Phone

(951) 791-3031

NPI assigned

Mar 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jody A Ruggiero Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• California Behavioral Wellness Group Inc.

  • Marriage & Family Therapist
  • Hemet, CA
  • NPI 1265388649
  NPD Authorized official
• California Behavioral Wellness Group Inc.

  • Marriage & Family Therapist
  • Hemet, CA
  • NPI 1699622993
  NPD Authorized official

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1487825691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 N SAN JACINTO ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433107",
            "telephone_number": "951-791-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 N. SAN JACINTO AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92544",
            "telephone_number": "951-791-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBOA",
        "first_name": "JODY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "956000930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "RUGGIERO",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori Renee McCallum Bailey, MHA, MSW, LCSW
• Gurkaran Kaur Bajwa
• Gary Lynn Baker, M.D.
• Ivy Elizabeth-Rainwater Baker, OTR/L
• Karli Rose Baker, DPT
• Melaine Nicole Balboa
• Seth Ballester
• Laurie Banks-Raskey, LMFT
• Jamila Joelle Banks, LMFT
• Gina Monique Banuelos, RRW

• Marriage & Family Therapist in Hemet, CA
• Providers in Hemet, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.