Organization Active NPI

Delaney M.D., a Professional Corporation

Doing business as Balanced Pain Management

  • Pain Medicine Physician
  • Walnut Creek, CA
National Provider Identifier
1801805817
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
FNP34876 Issued in CA
Legal business name
DELANEY M.D., A PROFESSIONAL CORPORATION
Doing business as
Balanced Pain Management
Practice address
130 La Casa Via Ste 209
Walnut Creek, CA 94598-3034
Phone
(925) 988-9333
Fax
(925) 988-9335
NPI assigned
Aug 7, 2006
Last updated
Apr 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Dr. Leslie Delaney, MDNPI 1124110309
Title
Ceo
Phone
(925) 988-9333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X FNP34876 CA Primary

Addresses

Primary practice location

130 La Casa Via Ste 209
Walnut Creek, CA 94598-3034

Mailing address

130 La Casa Via Ste 209
Walnut Creek, CA 94598-3034
Phone (925) 988-9333

Other names 1

  • Balanced Pain Management Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090211000439 CA Part B Supplier - Clinic/Group Practice 0547267148 Receives reassigned benefits from 1 practitioner
Practice locations: Walnut Creek, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1085771Balanced Pain Management130 La Casa Via, BLDG 2, Ste 209, Walnut Creek, CA 94598Certificate of waiverDec 28, 2027

National Provider Directory

National Provider Directory

Locations

114 La Casa Via
#210
Walnut Creek, CA 94598
Phone (925) 988-9333

130 La Casa Via
Ste 209
Walnut Creek, CA 94598
Phone (925) 935-6252

1844 San Miguel Dr
Ste 310
Walnut Creek, CA 94596
Phone (312) 259-4293

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1801805817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA STE 209",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983034",
            "telephone_number": "925-988-9333",
            "fax_number": "925-988-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA STE 209",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983034",
            "telephone_number": "925-988-9333",
            "fax_number": "925-988-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELANEY M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "DELANEY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-988-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "FNP34876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Pain Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Balanced Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.