Individual provider Active NPI

Norman Pamintuan Balacuit, DPM

  • Podiatrist
  • Monrovia, CA
National Provider Identifier
1972561835
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4209 Issued in CA
Practice address
416 S Myrtle Ave
Monrovia, CA 91016-2812
Phone
(626) 357-3296
Fax
(626) 359-5608
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4209 CA Primary

Addresses

Primary practice location

416 S Myrtle Ave
Monrovia, CA 91016-2812

Mailing address

PO Box 851
Monrovia, CA 91017-0851
Phone (909) 717-8327

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041102000864 CA Practitioner - Podiatry 9032171988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

416 S Myrtle Ave
Monrovia, CA 91016-2812
Phone (909) 717-8327

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1995
Removal or shaving of skin growth184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4209CAMDPodiatrist
4209CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Norman P. Balacuit DPM Inc Podiatrist CurrentSince Dec 19, 2018 Accepting new patients

Locations

416 S Myrtle Ave
Monrovia, CA 91016
Phone (626) 357-3296

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1972561835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910170851",
            "telephone_number": "909-717-8327",
            "fax_number": "626-357-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S MYRTLE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162812",
            "telephone_number": "626-357-3296",
            "fax_number": "626-359-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALACUIT",
        "first_name": "NORMAN",
        "middle_name": "PAMINTUAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

Verify at the official NPI Registry.