Clarence William Balke, MD

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

39765 Issued in KY

Practice address

185 Berry St
Campus Box 0558, Lobby 3, Suite 5300
San Francisco, CA 94107-5705

Phone

(415) 244-1570

Fax

(415) 514-8520

NPI assigned

Dec 1, 2006

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1871661660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 BERRY ST",
            "address_2": "CAMPUS BOX 0558, LOBBY 3, SUITE 5300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941075705",
            "telephone_number": "415-244-1570",
            "fax_number": "415-514-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 BERRY ST",
            "address_2": "CAMPUS BOX 0558, LOBBY 3, SUITE 5300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941075705",
            "telephone_number": "415-244-1570",
            "fax_number": "415-514-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALKE",
        "first_name": "CLARENCE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "KY",
            "license": "39765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Cardiac Electrophysiology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Cardiac Electrophysiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.