Janine Marie Balasbas, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95016986 Issued in CA

Practice address

685 N 13TH Ave
Upland, CA 91786-4916

Phone

(909) 981-8383

NPI assigned

Apr 19, 2021

Sex

Female

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1982285052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12664 CHAPMAN AVE UNIT 1110",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 N 13TH AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864916",
            "telephone_number": "909-981-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALASBAS",
        "first_name": "JANINE MARIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syeda A Baig, MD
• Kenneth Y Baik, MD
• Becky Baker, CADDTP
• Jeanette Baker
• Nathaniel Stuart Baker, PT, DPT
• April Baldrias
• Percival John Baldrias, N.P.
• Freddie B Balguma, M.D.
• Scott Nicholas Ballinger, PSYD
• Jumai Bandele

• Family Nurse Practitioner in Upland, CA
• Providers in Upland, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.