Brian Baldovino, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35335 Issued in CA

Practice address

2307 Black Pine Rd
Chino Hills, CA 91709-4709

Phone

(909) 348-2664

NPI assigned

Oct 31, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Daniel Sjolund and Dr. Alice Sun, Optometric Corporation

  • Optometrist
  • Santa Clarita, CA
  • NPI 1336685049
  Medicare reassignment NPD

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1669189668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 BLACK PINE RD",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 BLACK PINE RD",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094709",
            "telephone_number": "909-348-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDOVINO",
        "first_name": "BRIAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina Baez, CNS, LDN, MS
• Carlos Alberto Baez, MD
• Angela Bai
• Hua Bai, M.D.
• Balanced Health Rd L.L.C.
• Brandie Baque, APRN
• Leandra Barisoff
• Jane Ellen Barkholtz, OTR/L
• Marcus Martell Barnes
• Emily Rose Bartels

• Optometrist in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.