Active NPI
Jaspreet Bal, D.D.S.
- Dentist
- Ventura, CA
National Provider Identifier
1497938641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 46744
- Practice address
- 200 S. Wells Rd., Suite 200
Clinicas del Camino Real, Inc.
Ventura, CA 93004 - Phone
- (805) 659-1740
- Fax
- (805) 659-9959
- NPI assigned
- Dec 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 46744 | CA | Primary |
Addresses
Primary practice location
200 S. Wells Rd., Suite 200
Clinicas del Camino Real, Inc.
Ventura, CA 93004
Mailing address
200 S Wells Rd
Suite 200
Ventura, CA 93004-1377
Phone (805) 659-0560
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151214001322 | CA | Order and Referring Only - Dentist | 3173824323 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46744 | CA | MD | Dentist |
Interoperability endpoints
- jbal802508@direct.ochin.org
- jaspreet.bal.p1@direct.clinicas.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364169600000",
"number": "1497938641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S WELLS RD",
"address_2": "SUITE 200",
"city": "VENTURA",
"state": "CA",
"postal_code": "930041377",
"telephone_number": "805-659-0560",
"fax_number": "805-659-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S. WELLS RD., SUITE 200",
"address_2": "CLINICAS DEL CAMINO REAL, INC.",
"city": "VENTURA",
"state": "CA",
"postal_code": "93004",
"telephone_number": "805-659-1740",
"fax_number": "805-659-9959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAL",
"first_name": "JASPREET",
"name_prefix": "Ms.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-11",
"last_updated": "2013-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "46744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.