Organization Active NPI

Doctors on the Go Professional Group Corp

  • Nurse Practitioner
  • Canoga Park, CA
National Provider Identifier
1609403807
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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

Updated by the provider on Sep 9, 2025

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20200902002808 CA Part B Supplier - Clinic/Group Practice 9638596836 Receives reassigned benefits from 4 practitioners
Practice locations: Canoga Park, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.