Active NPI
Doctors on the Go Professional Group Corp
- Nurse Practitioner
- Canoga Park, CA
National Provider Identifier
1609403807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- DOCTORS ON THE GO PROFESSIONAL GROUP CORP
- Practice address
- 22048 Sherman Way Ste 313
Canoga Park, CA 91303-3014 - Phone
- (213) 465-2643
- NPI assigned
- Mar 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joanna Sunshine Balasico
- Title
- Practice Owner
- Phone
- (213) 465-2643
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
22048 Sherman Way Ste 313
Canoga Park, CA 91303-3014
Mailing address
22048 Sherman Way Ste 313
Canoga Park, CA 91303-3014
Phone (213) 465-2643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3325 Wilshire Blvd
Los Angeles, CA 90010
3325 Wilshire Blvd
Ste 210
Los Angeles, CA 90010
3325 Wilshire Blvd
Ste 208
Los Angeles, CA 90010
Phone (213) 221-1272
3450 Wilshire Blvd
Ste 1118
Los Angeles, CA 90010
Phone (213) 465-2643
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1972616100
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1598757577
-
- Family Nurse Practitioner
- Canoga Park, CA
- NPI 1770426967
-
- Family Nurse Practitioner
- Canoga Park, CA
- NPI 1518770882
-
- Family Nurse Practitioner
- Los Angeles, CA
- NPI 1881415537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1609403807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22048 SHERMAN WAY STE 313",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913033014",
"telephone_number": "213-465-2643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22048 SHERMAN WAY STE 313",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913033014",
"telephone_number": "213-465-2643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS ON THE GO PROFESSIONAL GROUP CORP",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-26",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "BALASICO",
"authorized_official_first_name": "JOANNA",
"authorized_official_middle_name": "SUNSHINE",
"authorized_official_title_or_position": "PRACTICE OWNER",
"authorized_official_telephone_number": "213-465-2643"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.