Michael Enrique Ballesteros, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT147936 Issued in CA

Practice address

10929 South St Ste 208B
Cerritos, CA 90703-5368

Phone

(562) 924-5526

Fax

(562) 924-1040

NPI assigned

Aug 6, 2024

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1861222549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11518 TELEGRAPH RD STE 397",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10929 SOUTH ST STE 208B",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035368",
            "telephone_number": "562-924-5526",
            "fax_number": "562-924-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTEROS",
        "first_name": "MICHAEL",
        "middle_name": "ENRIQUE",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT147936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balance and Motion Physical Therapy
• Rosette Mae Lopez Balbin, NP
• Ivan Jeffrey Baldomero
• Alyssa Jo Baldonado
• Alex Ballan, LCSW, ED.D.
• Lichelle Wendy Bangsil, RDHAP
• Shane Banks
• Heidi Annette Bansberg, D.C.
• Elonzo D Barba
• Gaberiel Barba

• Marriage & Family Therapist in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.