Marwan A Balaa, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

C42734 Issued in CA

Practice address

2520 Samaritan Dr
#201
San Jose, CA 95124

Phone

(408) 402-9990

Fax

(408) 402-0330

NPI assigned

Jan 6, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Endoscopy Surgery Center of Silicon Valley LLC

  • Ambulatory Surgical Clinic/Center
  • San Jose, CA
  • NPI 1033448782
  NPD (past)
• Terry C. Lin D.O.,Inc.

  • Gastroenterology Physician
  • San Jose, CA
  • NPI 1023161379
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1689652935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SAMARITAN DR",
            "address_2": "#201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-402-9990",
            "fax_number": "408-402-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SAMARITAN DR",
            "address_2": "#201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "408-402-9990",
            "fax_number": "408-402-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAA",
        "first_name": "MARWAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C42734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim N Bakke, DDS
• Omar Bakr, MD, MPH
• Rania Bakr
• Priya Bakshi, D.D.S
• Avreen Bal
• Jason S. Balaban, MD
• Micaela Balaban
• Nirmala Balachandra, DDS
• Jayepriya Balachandran
• Neha Balachandran

• Gastroenterology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.