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JAMES PABUA BALBIN NP
NPI 1326722679
Nurse Practitioner - Acute Care in Marina Del Rey, CA

Active since June 14, 2023PECOS EnrolledAccepts Medicare Assignment
4676 ADMIRALTY WAY STE 301, MARINA DEL REY, CA 90292(424) 314-6080(424) 314-6088 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2026, Jul 11, 2023, Jun 14, 2023 (3 updates tracked since 2023).

About James Pabua Balbin Np NPPES

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

JAMES PABUA BALBIN NP (NPI 1326722679) is an individual acute care provider in Marina Del Rey, California, licensed in California (NP95023128) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Palm Springs, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1326722679
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJAMES PABUA BALBINCredential: NP
Location Address4676 ADMIRALTY WAY STE 301Marina Del Rey, CA 90292-7771
Mailing Address4140 W 190th StTorrance, CA 90504-5513 · (424) 314-6080 · Fax (424) 314-6088
Phone(424) 314-6080
Fax(424) 314-6088
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 14, 2023
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1326722679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · NP95023128
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95023128 (CA)
4676 ADMIRALTY WAY STE 301, Marina Del Rey, CA 90292
Open in Google Maps ↗

Secondary Practice Location 1

Location 11150 N Indian Canyon DrPalm Springs, CA 92262-4872 · Phone (760) 323-6511

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Pabua Balbin Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638539570
PECOS Enrollment IDI20230724002458
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show James Balbin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cedars-Sinai Medical Care Foundation
7.0 mi
Specialist
6500 WILSHIRE BLVD FL 15
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 2,118 clinicians in this Medicare group
NPI 1316984388 (310) 385-3200
Cep America - Neurology PC
12 mi
Neurology
1300 N VERMONT AVE
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 117 clinicians in this Medicare group
NPI 1376308981 (213) 413-3000

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services18 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
12 services12 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90292 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

ELISSE VASSALLO FNP-BC
Nurse Practitioner (Family)
4676 ADMIRALTY WAY STE 301
MARINA DEL REY, CA 90292
Los Angeles County (310) 673-3945

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 James Balbin's NPI number?

The NPI number for James Balbin is 1326722679. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is James Balbin located?

James Balbin practices at 4676 Admiralty Way Ste 301, Marina Del Rey, CA 90292. The listed phone number is (424) 314-6080.

What is James Balbin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is James Balbin enrolled in Medicare?

Yes. James Balbin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Balbin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Balbin reassigns Medicare benefits to 2 organizations: Cedars-Sinai Medical Care Foundation (Los Angeles, CA) and Cep America - Neurology PC (Los Angeles, CA). Each 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 James Balbin'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 James Balbin was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.