Gemma Dulosa Balcita

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95019380 Issued in CA

Practice address

5838 Edison PL
Carlsbad, CA 92008-5520

Phone

(888) 515-3834

NPI assigned

Jan 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage Neuropsychiatric Associates a P CGroup PAC ID 0547395048, 16 clinicians

Memory Check Psychological Services, a Professional CorporationGroup PAC ID 7416856422, 78 clinicians

Datnguyen, M.D., Inc.Group PAC ID 4587668736, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Foothill Regional Medical Center Hospital, Tustin, CA, CCN 050780

Merit-based Incentive Payment System (MIPS)

Final score

81.67 of 100Reported as group

Quality

74.98

Improvement activities

40

Cost

51.43

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Advantage Neuropsychiatric Associates a P C

  • Psychiatry Physician
  • Orange, CA
  • NPI 1043455850
  Medicare reassignment Care Compare group NPD
• Memory Check Psychological Services, a Professional Corporation

  • Clinical Psychologist
  • Carlsbad, CA
  • NPI 1912184219

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Datnguyen MD Inc

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1215977723
  Medicare reassignment Care Compare group
• Carbon Medical Center

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1609678226
  Medicare reassignment
• Excell Integrated Medical Corporation

  • Hospitalist Physician
  • Paramount, CA
  • NPI 1164195848
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alta Newport Hospital, LLC

  • General Acute Care Hospital
  • Tustin, CA
  • NPI 1043632938
  Care Compare affiliation

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1750033155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2443",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928422443",
            "telephone_number": "657-256-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 EDISON PL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920085520",
            "telephone_number": "888-515-3834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 W Chapman Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928682847",
            "country_code": "US",
            "telephone_number": "714-633-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALCITA",
        "first_name": "GEMMA",
        "middle_name": "DULOSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529902",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "direct",
            "affiliation": "N",
            "address_1": "5838 Edison Pl",
            "city": "Carlsbad",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920085520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Balanced Psychology Services
• Elijah Balancio
• Jhelene Balanza
• Laura Anne Balcar, RDH
• Monica Jean Balch
• Virginia Ruby Balderas Shifflett
• Glenn Mark Balfour, M.D.
• Michelle E Balisi, MS, LMFT
• Trevor William Ball
• Darion Ballard

• Psychiatric/Mental Health Nurse Practitioner in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.