Active NPI
Peter Bales, MD
- Orthopaedic Surgery Physician
- Roseville, CA
National Provider Identifier
1669568994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G63997
- Practice address
- 1613 Eureka Rd
Suite 100
Roseville, CA 95661 - Phone
- (916) 788-8201
- Fax
- (916) 788-8205
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G63997 | CA | Primary |
Addresses
Primary practice location
1613 Eureka Rd
Suite 100
Roseville, CA 95661
Mailing address
PO Box 44
Loomis, CA 95650
Phone (916) 788-8201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G639970 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G63997 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Columbia Lutheran Charities | 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.
-
- Orthopaedic Surgery Physician
- Roseville, CA
- NPI 1457400558
-
dba Sutter North Surgery Center
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
dba Lower Columbia Hospice
- Community Based Hospice Care Agency
- Astoria, OR
- NPI 1023038858
-
dba Columbia Memorial Hospital
- Critical Access Hospital
- Astoria, OR
- NPI 1932814704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669568994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44",
"city": "LOOMIS",
"state": "CA",
"postal_code": "95650",
"telephone_number": "916-788-8201",
"fax_number": "916-788-8205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 EUREKA RD",
"address_2": "SUITE 100",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95661",
"telephone_number": "916-788-8201",
"fax_number": "916-788-8205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALES",
"first_name": "PETER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G63997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G639970",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.