Live, Love, & Develop

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

LIVE, LOVE, & DEVELOP

Practice address

3626 1St Ave
San Diego, CA 92103-4001

Phone

(954) 608-7703

NPI assigned

Mar 25, 2024

Organization subpart

No

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

Authorized official

Name

Kristin Angela Balboa, OTD, OTR/LNPI 1639881519

Title

Director

Phone

(954) 608-7703

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Balboa, OTR/L

  • Occupational Therapist
  • San Diego, CA
  • NPI 1639881519
  NPD Authorized official

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1497505309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034001",
            "telephone_number": "954-608-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034001",
            "telephone_number": "954-608-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE, LOVE, & DEVELOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-24",
        "status": "A",
        "authorized_official_last_name": "BALBOA",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-608-7703",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Livara Health Medical Group PC
• Nickole Athanazia Livas
• Live Oak Marriage and Family Therapy
• Live Right Wellness Centers
• Live to Golf Physical Therapy and Performance Inc
• Lynette Walker Lively Cookson, PSYD
• Elisa Danielle Lively
• Sarah Livermore, NP
• Living Epistles Services LLC
• Living Lotus Family Therapy, Inc.

• Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.