Individual provider Active NPI

Joan Balahadia, RN

  • General Practice Registered Nurse
  • San Diego, CA
National Provider Identifier
1609427814
Registry record updated Sep 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
740273 Issued in CA
Practice address
4276 54TH PL Ste C
San Diego, CA 92115-6011
Phone
(619) 501-5511
Fax
(951) 325-5868
NPI assigned
Sep 28, 2019
Last updated
Sep 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 740273 CA Primary

Addresses

Primary practice location

4276 54TH PL Ste C
San Diego, CA 92115-6011

Mailing address

13934 Mennonite PT
San Diego, CA 92129-3134
Phone (858) 603-3100

Other names 1

  • Mrs. Joan Sarmiento Balahadia Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
740273CAMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1569628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569628800000",
    "number": "1609427814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13934 MENNONITE PT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921293134",
            "telephone_number": "858-603-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4276 54TH PL STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156011",
            "telephone_number": "619-501-5511",
            "fax_number": "951-325-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAHADIA",
        "first_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-28",
        "last_updated": "2019-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "740273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "BALAHADIA",
            "middle_name": "SARMIENTO",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2019; 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.