Gina M Torres Balsamo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2010-0048 Issued in NM

Practice address

259 Blueberry Hill Rd
El Prado, NM 87529-7305

Phone

(575) 758-5858

NPI assigned

Sep 9, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Gina Marie Torres Former name

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2635/brand/1/csg/1/fhir/r4

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

• Family Practice Associates of Taos

  • Family Medicine Physician
  • Taos, NM
  • NPI 1881619864

  NM

  Medicare reassignment
• Family Practice Associates of Taos

  • Physiological Laboratory
  • Taos, NM
  • NPI 1407195233
  NPD
• El Centro Family Health

  • Federally Qualified Health Center (FQHC)
  • Wagon Mound, NM
  • NPI 1538324223
  NPD (past)
• El Centro Family Health

  • Federally Qualified Health Center (FQHC)
  • Espanola, NM
  • NPI 1780689034
  NPD (past)
• Lifehouse Vista Taos

  • Substance Abuse Rehabilitation Facility
  • El Prado, NM
  • NPI 1144013103
  NPD (past)

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1649587726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3141",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882213141",
            "telephone_number": "575-725-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 BLUEBERRY HILL RD",
            "city": "EL PRADO",
            "state": "NM",
            "postal_code": "875297305",
            "telephone_number": "575-758-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES BALSAMO",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2010-0048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0022763",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NMAAA0219",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "TORRES",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Support 4 Healing
• Taos Recovery, Inc.
• Benjamin David Teitelbaum, DOM
• Andrea Terry, LPCC
• Cynthia Tollen
• Transforming Perspectives LLC
• Trust in God Rehabilitation
• Vista Linda Rehabilitation LLC
• Sally J. Warnick, L.I.S.W.
• Claudia David Wood, PHD MFT

• All providers in El Prado, NM
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.