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MIGUEL ANGEL BALDERRAMA MD
NPI 1063564219
Family Medicine in Tacoma, WA

Active since January 17, 2007
1112 S CUSHMAN AVE, TACOMA, WA 98405(253) 593-2144(253) 593-4125 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miguel Angel Balderrama Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIGUEL ANGEL BALDERRAMA MD (NPI 1063564219) is an individual family medicine provider in Tacoma, Washington, licensed in Washington (MD00034248) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1063564219
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMIGUEL ANGEL BALDERRAMACredential: MD
Location Address1112 S CUSHMAN AVETacoma, WA 98405-3631
Mailing AddressPo Box 34703Seattle, WA 98124-1703 · (206) 764-0112 · Fax (206) 764-0489
Phone(253) 593-2144
Fax(253) 593-4125
Sole ProprietorNo
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063564219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00034248
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1112 S CUSHMAN AVE, Tacoma, WA 98405
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Other Identifiers 3

Medicare ID-Type UnspecifiedAB12068WA
Medicaid8244592WA
Medicare UPINH05887

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAN SHIN MOYNIHAN DO
Pediatrics
1112 S CUSHMAN AVE
TACOMA, WA 98405
Pierce County (253) 593-2144
SEA-MAR COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
1112 S CUSHMAN AVE
TACOMA, WA 98405
Pierce County (253) 593-2144
IAIN BREWER FNP-C
Nurse Practitioner
1112 S CUSHMAN AVE
TACOMA, WA 98405
Pierce County (535) 932-1442
DR. JANITZIA SCHURCH DIAZ MD
Internal Medicine
1112 S CUSHMAN AVE
TACOMA, WA 98405
Pierce County (253) 593-2144
LUKE JOSEPH FRANK
Counselor (Mental Health)
1112 S CUSHMAN AVE
TACOMA, WA 98405
Pierce County (253) 593-2144
MARGARET KAROLE BOYLE ARNP
Nurse Practitioner (Psychiatric/Mental Health)
1112 S CUSHMAN AVE
TACOMA, WA 98405
Pierce County (253) 593-2144
DIANNA LYNN WACHTEL PA-C
Physician Assistant
1112 S CUSHMAN AVE
TACOMA, WA 98405
Pierce County (253) 593-2144
SEA MAR COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
1112 S CUSHMAN AVE
TACOMA, WA 98405
Pierce County (253) 593-2144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miguel Balderrama's NPI number?

The NPI number for Miguel Balderrama is 1063564219. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Miguel Balderrama located?

Miguel Balderrama practices at 1112 S Cushman Ave, Tacoma, WA 98405. The listed phone number is (253) 593-2144.

What is Miguel Balderrama's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Miguel Balderrama was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.