Active NPI
Marlonino Vitug Balajadia, CRNA
- Certified Registered Nurse Anesthetist
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95002197
- Practice address
- 2249 Cota Ave
Long Beach, CA 90810-3402 - Phone
- (562) 253-7202
- NPI assigned
- Jul 31, 2023
- Last updated
- Aug 13, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 95002197 | CA | Primary |
Addresses
Primary practice location
2249 Cota Ave
Long Beach, CA 90810-3402
Mailing address
9333 Imperial Hwy
Downey, CA 90242-2812
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20528 Hawthorne Blvd
Suite 301
Torrance, CA 90503-3271
Phone (424) 247-9090
9333 Rosecrans Ave
Bellflower, CA 90706-2141
Phone (562) 461-3000
9449 Imperial Hwy
Downey, CA 90242-2814
Phone (562) 461-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Credence Anesthesia Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| West Coast Surgery Inc | Past | Accepting new patients |
Locations
1000 S Anaheim Blvd
Ste 300
Anaheim, CA 92805
Phone (714) 221-2196
9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3184
18575 Gale Ave
Ste 198
City of Industry, CA 91748
Phone (626) 656-1285
12017 Paramount Blvd
Downey, CA 90242
Phone (562) 381-2494
9333 Imperial Hwy
Downey, CA 90242
Phone (562) 657-8850
1400 S Grand Ave
Ste 700
Los Angeles, CA 90015
Phone (213) 765-7500
2000 Outlet Center Dr
Oxnard, CA 93036
Phone (805) 643-3332
2000 Outlet Center Dr
Ste 225
Oxnard, CA 93036
Phone (805) 444-4491
36915 Cook St
Ste 103B
Palm Desert, CA 92211
Phone (760) 340-1003
815 Auto Center Dr
Palmdale, CA 93551
Phone (661) 206-6262
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
20528 Hawthorne Blvd
Ste 301
Torrance, CA 90503
Phone (424) 247-9090
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Oxnard, CA
- NPI 1881381002
Nurse Anesthetist, Certified Registered
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Health Maintenance Organization
- Los Angeles, CA
- NPI 1134151657
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Orthopaedic Surgery Physician
- Palm Desert, CA
- NPI 1992248918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1780365809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9333 IMPERIAL HWY",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902422812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2249 COTA AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908103402",
"telephone_number": "562-253-7202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALAJADIA",
"first_name": "MARLONINO",
"middle_name": "VITUG",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-31",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95002197",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "9333 Imperial Hwy",
"city": "Downey",
"state": "CA",
"country_code": "US",
"postal_code": "902422812",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.