Individual provider Active NPI

Victor Babalola, GNP

  • Gerontology Nurse Practitioner
  • Houston, TX
National Provider Identifier
1942511480
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP119069 Issued in TX
Practice address
5323 Antoine Dr
Houston, TX 77091-4909
Phone
(713) 493-6437
NPI assigned
Jun 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP119069 TX Primary
Gerontology Nurse Practitioner 363LG0600X 95009156 CA

Addresses

Primary practice location

5323 Antoine Dr
Houston, TX 77091-4909

Mailing address

1 Lincoln St FL 24
Boston, MA 02111-2901

Other practice location 1

1450 Treat Blvd # 220A
Walnut Creek, CA 94597-2168
Phone (925) 952-2828

Other practice location 2

3509 Coffee Rd
Modesto, CA 95355
Phone (281) 904-3709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140512001323 TX Practitioner - Nurse Practitioner 4587897814 Reassigns benefits to 2 organizations
I20190916003627 CA Practitioner - Nurse Practitioner 4587897814 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dazzle Health P CGroup PAC ID 4082146634, 26 clinicians

Practice addresses (Care Compare)

18650 Macarthur Blvd
Irvine, CA 92612-1244
Phone (412) 996-9012

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95009156CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of California, PC CurrentSince Apr 1, 2023 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Dazzle Health P C CurrentSince Oct 1, 2025 Accepting new patients
Dispatchhealth-Texas P a CurrentSince Nov 30, 2022 Accepting new patients
Sonora Community Hospital CurrentSince Aug 7, 2023 Accepting new patients
Chaparral Medical Group Inc. CurrentSince Jan 17, 2026 Accepting new patients
Texas Palliative Services PA CurrentSince Aug 19, 2024 Accepting new patients
Sonora Community Hospital CurrentSince Aug 7, 2023 Accepting new patients
Chaparral Medical Group Inc. CurrentSince Jan 17, 2026 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 26, 2023 Accepting new patients
Texas Palliative Services PA CurrentSince Aug 19, 2024 Accepting new patients
Texas Palliative Services PA PastSince Jul 21, 2024 Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients
Iora Health Texas, PLLC PastSince Oct 12, 2025 Accepting new patients
Iora Health, LLC Past Accepting new patients
Iora Health Texas, PLLC PastSince Nov 20, 2022 Accepting new patients

Locations

109 H St
Bakersfield, CA 93304
Phone (213) 497-3218

18650 MacArthur Blvd
Ste 450
Irvine, CA 92612
Phone (949) 570-7750

18650 MacArthur Blvd
Irvine, CA 92612
Phone (412) 996-9012

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

193 Fairview Ln
Ste B
Sonora, CA 95370
Phone (209) 532-5100

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

900 Mono Way
Sonora, CA 95370
Phone (209) 536-6920

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

16633 Dallas Pkwy
Ste 425
Addison, TX 75001
Phone (469) 365-2225

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

211 Highland Cross Dr
Houston, TX 77073
Phone (713) 422-2920

3516 NE Stallings Dr
Ste B
Nacogdoches, TX 75965
Phone (936) 585-6140

8277 Belleview Dr
Ste 275
Plano, TX 75024
Phone (469) 365-2225

2201 N Central Expy
Ste 125
Richardson, TX 75080
Phone (214) 377-1790

7560 Glenview Dr
Ste 100
Richland Hills, TX 76180
Phone (817) 435-1970

4109 City Point Dr
Richland Hills, TX 76180
Phone (817) 435-1970

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1942511480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LINCOLN ST FL 24",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 ANTOINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914909",
            "telephone_number": "713-493-6437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Treat Blvd # 220A",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945972168",
            "country_code": "US",
            "telephone_number": "925-952-2828",
            "fax_number": "925-952-2850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3509 Coffee Rd",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "95355",
            "country_code": "US",
            "telephone_number": "281-904-3709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABALOLA",
        "first_name": "VICTOR",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP119069",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95009156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.