Tamara Lanise Balthazar, RAC

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

License

25004 Issued in CA

Practice address

2600 Redondo Ave
Long Beach, CA 90806-2325

Phone

(562) 256-7920

NPI assigned

Jan 21, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Homeless Health Care Los Angeles

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1467751800
  NPD (past)

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1568274249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062325",
            "telephone_number": "562-256-7920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 Beverly Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900572220",
            "country_code": "US",
            "telephone_number": "213-744-0724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALTHAZAR",
        "first_name": "TAMARA",
        "middle_name": "LANISE",
        "credential": "RAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": "25004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith E. Ballinger, PA C
• Justine Lauren Ballon, CD(DONA)
• Aubrey Balmonte
• Jennica Balsillie
• Daisy Baltazar
• Ailene Amara Baltodano
• Sarah Balty
• Abigail Baltzer, AGNP-C
• Gina Baluyot
• Shelby Lorene Balyan

• Day Training/Habilitation Specialist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Day Training/Habilitation Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.