ALEXANDER BALDERRAMA PA
NPI 1649204470
Physician Assistant - Medical in Lynwood, CA
About Alexander Balderrama Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDER BALDERRAMA PA (NPI 1649204470) is an individual medical provider in Lynwood, California, licensed in California (PA10019) and active in the NPI registry since July 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LYNWOOD, CA 90262
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 Alexander Balderrama's NPI number?
The NPI number for Alexander Balderrama is 1649204470. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Alexander Balderrama located?
Alexander Balderrama practices at 3630 East Imperial Highway, Lynwood, CA 90262. The listed phone number is (310) 900-8900.
What is Alexander Balderrama's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
When was this NPI record last updated?
The NPPES record for Alexander Balderrama was last updated on December 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Alexander Balderrama, PA · NPI 1649204470
Medical physician in Lynwood, California. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1649204470 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA10019 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3630 EAST IMPERIAL HIGHWAY, Lynwood, CA 90262-2678
- **Phone:** (310) 900-8900
## Record status
- **NPPES last updated:** December 8, 2009
- **Other identifiers:** Medicare PIN WPA10019L (CA); Medicare UPIN R38354; Medicaid PA10019 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1649204470) · Data from the CMS NPPES public registry.