Active NPI
Edward Albert Guarin Balbas, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Colton, CA
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.
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- A89036
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A89036 | Other | CA | MEDICAL LICENSE # |
| 05808134 | Other | CA | ECFMG 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89036 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lags Spine and Sportscare Medical Centers Inc | Pain Medicine | Past | Accepting new patients |
| Regenerative Spine, Pain, and Neuropathy Centers, Inc. | Pain Medicine | Past | 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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Santa Maria, CA
- NPI 1447244256
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Santa Maria, CA
- NPI 1689157059
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Bakersfield, CA
- NPI 1497323570
-
- Durable Medical Equipment & Medical Supplies
- Portland, OR
- NPI 1558997502
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.