Organization Active NPI

Balbas Medical, P.C

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Corona, CA
National Provider Identifier
1659678274
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A89036 Issued in CA
Legal business name
BALBAS MEDICAL, P.C
Practice address
1150 El Camino Ave
Suite108
Corona, CA 92879-1784
Phone
(951) 735-3553
Fax
(951) 735-3558
NPI assigned
Feb 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Edward G Balbas, M.D
Title
Ower
Phone
(951) 735-3553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081P2900X A89036 CA Primary

Addresses

Primary practice location

1150 El Camino Ave
Suite108
Corona, CA 92879-1784

Mailing address

1150 El Camino Ave
Suite108
Corona, CA 92879-1784
Phone (951) 735-3553

Other names 1

  • Corona Physical Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1659678274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 EL CAMINO AVE",
            "address_2": "SUITE108",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791784",
            "telephone_number": "951-735-3553",
            "fax_number": "951-735-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 EL CAMINO AVE",
            "address_2": "SUITE108",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791784",
            "telephone_number": "951-735-3553",
            "fax_number": "951-735-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALBAS MEDICAL, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "BALBAS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "951-735-3553",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A89036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corona Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.