Balbuena Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A27104 Issued in CA

Legal business name

BALBUENA MEDICAL GROUP

Practice address

13847 E 14TH St
Suite 101
San Leandro, CA 94578-2632

Phone

(510) 351-6424

Fax

(510) 351-0317

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eugenio L Balbuena, M.D.

Title

Ceo

Phone

(510) 351-6424

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1770779183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13847 E 14TH ST",
            "address_2": "SUITE 101",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782632",
            "telephone_number": "510-351-6424",
            "fax_number": "510-351-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13847 E 14TH ST",
            "address_2": "SUITE 101",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782632",
            "telephone_number": "510-351-6424",
            "fax_number": "510-351-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALBUENA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "BALBUENA",
        "authorized_official_first_name": "EUGENIO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-351-6424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A27104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaughn L Baker, MFTI
• Sofia Bakhtary
• Diana Bakowsky
• Kulbir Bal, RN
• Vanessa Hope Garcia Balanon
• Tanaaz B. Baldawala, M.D.
• Jerick Bali
• Mary Etta Gill Balicki
• Jason Daehn Balkman, M.D.
• Camilla Ballard, CMT

• Internal Medicine Physician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.