Clara E. Balancio, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49040 Issued in CA

Legal business name

CLARA E. BALANCIO, DDS, INC.

Practice address

2809 Redwood Pkwy
Vallejo, CA 94591-3634

Phone

(707) 643-2273

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Clara Espinoza Balancio, DDS

Title

Doctor

Phone

(707) 643-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1760672588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 REDWOOD PKWY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945913634",
            "telephone_number": "707-643-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 REDWOOD PKWY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945913634",
            "telephone_number": "707-643-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA E. BALANCIO, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "BALANCIO",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "ESPINOZA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "707-643-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083735831",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giselle Cisneros
• Esther Cistone, MD
• City of Vallejo
• Bernd Claassen, MD
• Faye'Isha Mashaye Claborne
• Lorene Clark Lacayo
• Breanna N Clark
• Bruce C. Clark, MD
• Cristen Clark
• Michael S. Clark, MD

• General Practice Dentistry in Vallejo, CA
• Providers in Vallejo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.