Individual provider Active NPI

Jennifer Culanag Balan, DC

  • Chiropractor
  • San Marcos, CA
National Provider Identifier
1780398826
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36393 Issued in CA
Practice address
1217 San Elijo Rd S Ste 1a
San Marcos, CA 92078-1171
Phone
(209) 498-4085
NPI assigned
Jan 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36393 CA Primary

Addresses

Primary practice location

1217 San Elijo Rd S Ste 1a
San Marcos, CA 92078-1171

Mailing address

1217 San Elijo Rd S Ste 1a
San Marcos, CA 92078-1171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36393CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
100 Chiropractic Grant SE Inc Chiropractor CurrentSince Jul 13, 2025 Accepting new patients

Locations

1217 San Elijo Rd S
Unit 1A
San Marcos, CA 92078

1217 San Elijo Rd S
Ste 1A
San Marcos, CA 92078
Phone (209) 498-4085

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1780398826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 SAN ELIJO RD S STE 1A",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 SAN ELIJO RD S STE 1A",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781171",
            "telephone_number": "209-498-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAN",
        "first_name": "JENNIFER",
        "middle_name": "CULANAG",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2024-08-01",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.