Individual provider Active NPI

Edward Albert Guarin Balbas, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Colton, CA
National Provider Identifier
1629062435
Registry record updated Jan 23, 2023
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Apr 18, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A89036 Issued in CA
Practice address
900 E Washington St Ste 300
Colton, CA 92324-8182
Phone
(909) 333-6094
Fax
(909) 824-8234
NPI assigned
Sep 7, 2005
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A89036 CA Primary

Addresses

Primary practice location

900 E Washington St Ste 300
Colton, CA 92324-8182

Mailing address

4942 Roan CT
Rancho Cucamonga, CA 91737-2445
Phone (707) 477-8452

Other practice location 1

1207 Carlsbad Village Dr Ste A
Carlsbad, CA 92008-1958
Phone (858) 723-8475

Other practice location 2

3333 Concours Ste 4202
Ontario, CA 91764-6575
Phone (909) 333-6094

Other practice location 3

15857 Pomona Rincon Rd
Chino Hills, CA 91709-5505
Phone (909) 333-6094

Other identifiers 2

IdentifierTypeStateIssuer
A89036OtherCAMEDICAL LICENSE #
05808134OtherCAECFMG NUMBER

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
89036CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lags Spine and Sportscare Medical Centers Inc Pain Medicine Past Accepting new patients
Regenerative Spine, Pain, and Neuropathy Centers, Inc. Pain Medicine PastSince Jun 22, 2021 Accepting new patients
Lags Spine and Sportscare Medical Centers, Inc. Past Accepting new patients
Lags Spine and Sportscare Medical Centers, Inc. Pain Medicine Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1629062435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4942 ROAN CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917372445",
            "telephone_number": "707-477-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E WASHINGTON ST STE 300",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923248182",
            "telephone_number": "909-333-6094",
            "fax_number": "909-824-8234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 Carlsbad Village Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920081958",
            "country_code": "US",
            "telephone_number": "858-723-8475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Concours Ste 4202",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917646575",
            "country_code": "US",
            "telephone_number": "909-333-6094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15857 Pomona Rincon Rd",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917095505",
            "country_code": "US",
            "telephone_number": "909-333-6094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALBAS",
        "first_name": "EDWARD ALBERT",
        "middle_name": "GUARIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A89036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE #",
            "identifier": "A89036",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG NUMBER",
            "identifier": "05808134",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.