Individual provider Active NPI

Marlonino Vitug Balajadia, CRNA

  • Certified Registered Nurse Anesthetist
  • Long Beach, CA
National Provider Identifier
1780365809
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95002197 Issued in CA
Practice address
2249 Cota Ave
Long Beach, CA 90810-3402
Phone
(562) 253-7202
NPI assigned
Jul 31, 2023
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
I20240424003557 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486094430 Reassigns benefits to 2 organizations

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
Credence Anesthesia CorporationGroup PAC ID 9133586639, 12 clinicians

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

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Mar 10, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 10, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Credence Anesthesia Corporation Nurse Anesthetist, Certified Registered CurrentSince Feb 18, 2025 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.

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.

Verify at the official NPI Registry.