Active NPI
Aldis Baltins, MD
- Orthopaedic Surgery Physician
- Ukiah, CA
National Provider Identifier
1811077704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G28762
- Practice address
- 1252 Airport Park Blvd
Suite C7
Ukiah, CA 95482-5979 - Phone
- (707) 468-0471
- Fax
- (707) 468-1182
- NPI assigned
- Oct 16, 2006
- Last updated
- Mar 4, 2020
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G28762 | CA | Primary |
Addresses
Primary practice location
1252 Airport Park Blvd
Suite C7
Ukiah, CA 95482-5979
Mailing address
1252 Airport Park Blvd
Suite C7
Ukiah, CA 95482-5979
Phone (707) 468-0471
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G287620 | Medicaid | CA | |
| 200008280 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G28762 | CA | MD | Orthopaedic Surgery Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mendocino Orthopedic Medical Clinic
- Orthopaedic Surgery Physician
- Ukiah, CA
- NPI 1215006143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1811077704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1252 AIRPORT PARK BLVD",
"address_2": "SUITE C7",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825979",
"telephone_number": "707-468-0471",
"fax_number": "707-468-1182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1252 AIRPORT PARK BLVD",
"address_2": "SUITE C7",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825979",
"telephone_number": "707-468-0471",
"fax_number": "707-468-1182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALTINS",
"first_name": "ALDIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G28762",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G287620",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200008280",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.