Active NPI
Rebekah Fixler Balboni, LCSW
- Social Worker
- Oakland, CA
National Provider Identifier
1699825539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3800 Coolidge Ave
Oakland, CA 94602-3311 - Phone
- (510) 499-7197
- NPI assigned
- Jan 11, 2007
- Last updated
- Jul 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | CA | Primary |
Addresses
Primary practice location
3800 Coolidge Ave
Oakland, CA 94602-3311
Mailing address
2950 Merced St Ste 100
San Leandro, CA 94577-5671
Phone (510) 499-7197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 14, 2023 through Dec 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24270 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1699825539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 MERCED ST STE 100",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945775671",
"telephone_number": "510-499-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 COOLIDGE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946023311",
"telephone_number": "510-499-7197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALBONI",
"first_name": "REBEKAH",
"middle_name": "FIXLER",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.