Jeffrey Balfus, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

G21621 Issued in CA

Practice address

17539 Eaton LN
Monte Sereno, CA 95030-2204

Phone

(408) 406-2374

NPI assigned

Mar 22, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1972827848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17539 EATON LN",
            "city": "MONTE SERENO",
            "state": "CA",
            "postal_code": "950302204",
            "telephone_number": "408-406-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17539 EATON LN",
            "city": "MONTE SERENO",
            "state": "CA",
            "postal_code": "950302204",
            "telephone_number": "408-406-2374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17539 Eaton Ln",
            "address_purpose": "LOCATION",
            "city": "Monte Sereno",
            "state": "CA",
            "postal_code": "950302204",
            "country_code": "US",
            "telephone_number": "408-395-2012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALFUS",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-22",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G21621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Abel, MD
• Nerissa Balzary
• Jerome Ira Block, M.D.
• Debra Brender, RN, IBCLC
• Donna Heicher Conom, MD
• Henry J Fee, MD

• Pain Medicine (Anesthesiology) Physician in Monte Sereno, CA
• Providers in Monte Sereno, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.