Marvin Balbuena, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA4451 Issued in CA

Practice address

3241 E Calle Baja Dr
West Covina, CA 91792-2902

Phone

(626) 736-7471

NPI assigned

Dec 1, 2019

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575158400000",
    "number": "1881231504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 E CALLE BAJA DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917922902",
            "telephone_number": "626-736-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 E CALLE BAJA DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917922902",
            "telephone_number": "626-736-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBUENA",
        "first_name": "MARVIN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-01",
        "last_updated": "2019-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA4451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Baker
• Susie Baker, LCSW
• Timothy L Baker, R.P.T.
• Briar Baking, COTA/L
• Sofia Balaskas
• Baldwin Park Counseling
• Vincent A Baliton
• Trina Monique Ballentine, ARRT, ARDMS, NTQR
• Cynthia Baltazar
• Banaria Dental Group Inc

• Occupational Therapy Assistant in West Covina, CA
• Providers in West Covina, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; 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.