Vincent Balog I, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

292332 Issued in CA

Practice address

16615 Yorba Linda Blvd
Yorba Linda, CA 92886-2046

Phone

(714) 577-0745

Fax

(714) 577-8653

NPI assigned

Nov 12, 2016

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

State licenses

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

{
    "created_epoch": "1478908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478908800000",
    "number": "1720520489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16615 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862046",
            "telephone_number": "714-577-0745",
            "fax_number": "714-577-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16615 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862046",
            "telephone_number": "714-577-0745",
            "fax_number": "714-577-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOG",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-12",
        "last_updated": "2016-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "292332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Bae, M.D.
• Jaclyn Bae, DDS
• Charles Bagwell, D.P.T.
• John Michael Bair, D.C.
• Kevin George Bakar, D.D.S.
• Poonam Nina Banerjee, PHD
• Marienelle Banez, M.D.
• Kyung Bang
• Christine Dragoo Baranick, PT
• Jerry Baranick, DPT

• Orthopedic Physical Therapist in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2016; 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.