Individual provider Active NPI

Paul Emerson Baloy

  • Occupational Therapist
  • La Habra, CA
National Provider Identifier
1679961015
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7468 Issued in CA
Practice address
1770 W la Habra Blvd
La Habra, CA 90631-5130
Phone
(562) 691-8810
NPI assigned
Jan 8, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7468 CA Primary

Addresses

Primary practice location

1770 W la Habra Blvd
La Habra, CA 90631-5130

Mailing address

1770 W la Habra Blvd
La Habra, CA 90631-5130
Phone (562) 691-8810

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

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1679961015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 W LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315130",
            "telephone_number": "562-691-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 W LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315130",
            "telephone_number": "562-691-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOY",
        "first_name": "PAUL EMERSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "7468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.