JAVIER BALDERAS DC
NPI 1184330219
Chiropractor in San Diego, CA

Active since January 23, 2023
8885 RIO SAN DIEGO DR, SAN DIEGO, CA 92108(619) 293-3453(619) 573-4525 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Javier Balderas Dc NPPES

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

JAVIER BALDERAS DC (NPI 1184330219) is an individual chiropractor in San Diego, California, licensed in California (36273) and active in the NPI registry since January 2023. He is a graduate of Los Angeles College Of Chiropractic (2021).

NPPES Registry Identity

NPI1184330219
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJAVIER BALDERASCredential: DC
Location Address8885 RIO SAN DIEGO DRSan Diego, CA 92108-1624
Mailing Address8885 Rio San Diego DrSan Diego, CA 92108-1624 · (619) 293-3453
Fax(619) 573-4525
Sole ProprietorNo
Medical School CMSLos Angeles College Of ChiropracticGraduated 2021
Enumeration DateJanuary 23, 2023
NPPES CertifiedMay 19, 2022
✔ NPI 1184330219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 36273
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
8885 RIO SAN DIEGO DR, San Diego, CA 92108

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Javier Balderas Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587146766
PECOS Enrollment IDI20260305003907

Medicare Billing Reassignment

Medicare enrollment records show Javier Balderas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sports Physician
8885 RIO SAN DIEGO DR STE 357
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 19

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

Case Management
8885 RIO SAN DIEGO DR, SUITE 131
SAN DIEGO, CA 92108
Psychologist (Clinical)
8885 RIO SAN DIEGO DR, SUITE 325
SAN DIEGO, CA 92108
Registered Nurse
8885 RIO SAN DIEGO DR
SAN DIEGO, CA 92108
Behavior Technician
8885 RIO SAN DIEGO DR
SAN DIEGO, CA 92108
Chiropractor
8885 RIO SAN DIEGO DR, #347
SAN DIEGO, CA 92108
Marriage & Family Therapist
8885 RIO SAN DIEGO DR, SUITE 365
SAN DIEGO, CA 92108
Registered Nurse (Case Management)
8885 RIO SAN DIEGO DR
SAN DIEGO, CA 92108
Chiropractor
8885 RIO SAN DIEGO DR, #357
SAN DIEGO, CA 92108

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 Javier Balderas's NPI number?

The NPI number for Javier Balderas is 1184330219. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Where is Javier Balderas located?

Javier Balderas practices at 8885 Rio San Diego Dr, San Diego, CA 92108. The listed phone number is (619) 293-3453.

What is Javier Balderas's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Javier Balderas enrolled in Medicare?

Yes. Javier Balderas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Javier Balderas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Javier Balderas reassigns Medicare benefits to Welsh Chiropractic Inc (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Javier Balderas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Javier Balderas was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.