Robert Edmund Balette, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A48109 Issued in CA

Practice address

517 N Main St
Suite # 100
Santa Ana, CA 92701-4686

Phone

(714) 647-0401

Fax

(714) 647-9465

NPI assigned

Apr 9, 2008

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1922271063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST",
            "address_2": "SUITE # 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014686",
            "telephone_number": "714-647-0401",
            "fax_number": "714-647-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST",
            "address_2": "SUITE # 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014686",
            "telephone_number": "714-647-0401",
            "fax_number": "714-647-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALETTE",
        "first_name": "ROBERT",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A48109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Anne Balcom, M.S.
• Marisol Balderas
• Cedric Arnold Balderrama, CMT
• Krizia Baldon, RBT
• Emily Baldwin
• Ball and Brosch Counseling Services: Marriage, Family, & Child
• Monica J. Ball-Zondervan, M.D.
• Cordell Lee Ball, LMFT
• Mark Ballard
• Frank Fidel Ballejos

• General Practice Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.

Verify at the official NPI Registry.