Jocelyn Balderrama Marin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

23151 Verdugo Dr Ste 113
Laguna Hills, CA 92653-1340

Phone

(949) 954-4422

NPI assigned

Apr 22, 2021

Last updated

Apr 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Behavioral Concepts

  • Community/Behavioral Health Agency
  • Laguna Hills, CA
  • NPI 1205391539
  NPD (past)

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1730761586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11542 HANNA CIR",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928401925",
            "telephone_number": "714-745-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23151 VERDUGO DR STE 113",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531340",
            "telephone_number": "949-954-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERRAMA MARIN",
        "first_name": "JOCELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT SURE",
            "identifier": "000000000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kanwardeep Bajwa, MD
• Erin Lee Baker, NP
• Sepideh Bakhtiari, LMFT
• Nava Balaei
• Ashley Erin Balaker, M.D.
• Denisha Leann Ballard, PTA
• Roanne Matanous Ballat
• Sandra Ball Bandettini, MS, MFT
• Esther Barajas Haro
• Keliegh Barajas-Gallegos

• Behavior Technician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.