Nina Mills Ballantyne, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

235994 Issued in CA

Practice address

1017 Damascus Cir
Costa Mesa, CA 92626-1608

Phone

(413) 687-9263

Fax

(714) 707-4119

NPI assigned

Nov 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Nina Ballantyne Torres Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711152000000",
    "number": "1598233306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 DAMASCUS CIR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261608",
            "telephone_number": "413-687-9263",
            "fax_number": "714-707-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 DAMASCUS CIR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261608",
            "telephone_number": "413-687-9263",
            "fax_number": "714-707-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLANTYNE",
        "first_name": "NINA",
        "middle_name": "MILLS",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95010744",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "235994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467590901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "TORRES",
            "middle_name": "BALLANTYNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angelica Alicia Balderas
• Sienna Renee Baldwin
• Taiyahley Kimora Baldwin
• Emily Bales, LMFT
• Donna Ball
• Ballard Ca, PC
• Denise Balsimelli, DC
• Silvana Balsimelli, D.C.
• Gianna Vittoria Bandoni
• Jayzon Beleno Banez, LVN

• Advanced Practice Midwife in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Advanced Practice Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.