Miranda Balcazar

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

4051 Broad St Ste 110
San Luis Obispo, CA 93401-8722

Phone

(805) 242-1617

NPI assigned

Mar 4, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• DSP Health Speech

  • Hearing and Speech Clinic/Center
  • San Luis Obispo, CA
  • NPI 1497447007
  NPD
• Haider Shahid MD Professional Medical Corporation

  • Psychiatry Physician
  • San Luis Obispo, CA
  • NPI 1861134785
  NPD
• Developmental Specialty Partners

  • Behavior Analyst
  • San Luis Obispo, CA
  • NPI 1801554225
  NPD (past)

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1821855016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 AVIS ST",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934209705",
            "telephone_number": "951-809-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 BROAD ST STE 110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018722",
            "telephone_number": "805-242-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCAZAR",
        "first_name": "MIRANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bakersfield Sleep Center
• Suzanne Elizabeth Bakke, PA-C
• Natasha Bala
• Amber Lynn Balais
• Balance Treatment Slo, Inc
• Kenneth Leslie Baldwin, MD
• Larry Baldwin, M.D.
• Sheri Lynette Baldwin, P.T.
• Mike Ball, MS
• Randal Gail Ball, EDD

• Assistant Behavior Analyst in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Assistant Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.