Active NPI
Rachel La Madrid Balbas-Go, RN
- Psychiatric/Mental Health Nurse Practitioner
- Sylmar, CA
National Provider Identifier
1891833216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP23011
- Practice address
- 14659 Olive View Dr
Sylmar, CA 91342-1652 - Phone
- (818) 485-0888
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 541990 | CA | |
| Rehabilitation Practitioner | 225400000X | 541990 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP23011 | CA | Primary |
Addresses
Primary practice location
14659 Olive View Dr
Sylmar, CA 91342-1652
Mailing address
659 E Gardenia Dr
Azusa, CA 91702-6296
Phone (626) 812-0497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23011 | CA | MD | Dentist |
| 541990 | CA | MD | Rehabilitation Practitioner |
| NP23011 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Wellness Partners | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
820 N Mountain Ave
Ste 215
Upland, CA 91786
Phone (844) 467-3867
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1891833216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 E GARDENIA DR",
"city": "AZUSA",
"state": "CA",
"postal_code": "917026296",
"telephone_number": "626-812-0497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14659 OLIVE VIEW DR",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913421652",
"telephone_number": "818-485-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALBAS-GO",
"first_name": "RACHEL",
"middle_name": "LA MADRID",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "541990",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": "541990",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "NP23011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylmar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.