KAYLIE M BALVANEDA
NPI 1568357796
Physician Assistant in Thousand Oaks, CA

Active since June 10, 2025
3095 OLD CONEJO RD STE 200, THOUSAND OAKS, CA 91320(805) 298-7034 Get Directions Write a Review

NPPES record last updated: July 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaylie M Balvaneda NPPES

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

KAYLIE M BALVANEDA (NPI 1568357796) is an individual physician assistant in Thousand Oaks, California, licensed in California (PA66563) and active in the NPI registry since June 2025. She maintains a secondary practice location in Fontana.

NPPES Registry Identity

NPI1568357796
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAYLIE M BALVANEDA
Location Address3095 OLD CONEJO RD STE 200Thousand Oaks, CA 91320-2130
Mailing Address7268 Missouri StFontana, CA 92336-0835 · (909) 681-7109
Sole ProprietorNo
Enumeration DateJune 10, 2025
Last NPPES UpdateJuly 20, 2025
NPPES CertifiedJuly 20, 2025
NPI 1568357796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA66563
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3095 OLD CONEJO RD STE 200, Thousand Oaks, CA 91320

Secondary Practice Location 1

Location 17774 Cherry Ave # AFontana, CA 92336-4014 · Phone (909) 355-1296

Other Providers at the Same Location NPPES 10

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

Physician Assistant
3095 OLD CONEJO RD STE 200
THOUSAND OAKS, CA 91320
Dermatology
3095 OLD CONEJO RD STE 200
THOUSAND OAKS, CA 91320
Physician Assistant
3095 OLD CONEJO RD STE 200
THOUSAND OAKS, CA 91320
Physician Assistant (Medical)
3095 OLD CONEJO RD STE 200
THOUSAND OAKS, CA 91320
Physician Assistant
3095 OLD CONEJO RD STE 200
THOUSAND OAKS, CA 91320
Physician Assistant
3095 OLD CONEJO RD STE 200
THOUSAND OAKS, CA 91320
Dermatology
3095 OLD CONEJO RD STE 200
THOUSAND OAKS, CA 91320
Physician Assistant
3095 OLD CONEJO RD STE 200
THOUSAND OAKS, CA 91320

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 Kaylie Balvaneda's NPI number?

The NPI number for Kaylie Balvaneda is 1568357796. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Kaylie Balvaneda located?

Kaylie Balvaneda practices at 3095 Old Conejo Rd Ste 200, Thousand Oaks, CA 91320. The listed phone number is (805) 298-7034.

What is Kaylie Balvaneda's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kaylie Balvaneda was last updated on July 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.