Active NPI
Algimantas Balciunas, MD
- Diagnostic Radiology Physician
- Placerville, CA
National Provider Identifier
1881664050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G10603
- Practice address
- 1100 Marshall Way
Marshall Medical Center
Placerville, CA 95667 - Phone
- (530) 622-1441
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | G10603 | CA | |
| Neuroradiology Physician | 2085N0700X | G10603 | CA | |
| Nuclear Radiology Physician | 2085N0904X | G10603 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | G10603 | CA | Primary |
| Therapeutic Radiology Physician | 2085R0203X | G10603 | CA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | G10603 | CA | |
| Radiological Physics Physician | 2085R0205X | G10603 | CA | |
| Diagnostic Ultrasound Physician | 2085U0001X | G10603 | CA |
Addresses
Primary practice location
1100 Marshall Way
Marshall Medical Center
Placerville, CA 95667
Mailing address
PO Box 707
Billing Office, Placerville Radiology Medical Group
Placerville, CA 95667-0707
Phone (530) 626-1166
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0053460 | Medicaid | CA | |
| 300040793 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1881664050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 707",
"address_2": "BILLING OFFICE, PLACERVILLE RADIOLOGY MEDICAL GROUP",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956670707",
"telephone_number": "530-626-1166",
"fax_number": "530-626-3826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 MARSHALL WAY",
"address_2": "MARSHALL MEDICAL CENTER",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "95667",
"telephone_number": "530-622-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALCIUNAS",
"first_name": "ALGIMANTAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "CA",
"license": "G10603",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "CA",
"license": "G10603",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "CA",
"license": "G10603",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G10603",
"primary": true
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "CA",
"license": "G10603",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "G10603",
"primary": false
},
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "CA",
"license": "G10603",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": "G10603",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0053460",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300040793",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.