ALEXANDER BALDERRAMA PA
NPI 1649204470
Physician Assistant - Medical in Lynwood, CA

Active since July 10, 2006
3630 EAST IMPERIAL HIGHWAY, LYNWOOD, CA 90262(310) 900-8900 Get Directions Write a Review

NPPES record last updated: December 8, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1649204470
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameALEXANDER BALDERRAMACredential: PA
Location Address3630 EAST IMPERIAL HIGHWAYLynwood, CA 90262-2678
Mailing AddressPo Box 12110Westminster, CA 92685-2110 · (562) 809-3571
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 8, 2009
NPI 1649204470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA10019
3630 EAST IMPERIAL HIGHWAY, Lynwood, CA 90262

Other Identifiers 3

Medicare PINWPA10019LCA
Medicare UPINR38354
MedicaidPA10019CA

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.

Emergency Medicine
3630 EAST IMPERIAL HIGHWAY
LYNWOOD, CA 90262
Emergency Medicine
3630 EAST IMPERIAL HIGHWAY
LYNWOOD, CA 90262
Emergency Medicine
3630 EAST IMPERIAL HIGHWAY
LYNWOOD, CA 90262
Emergency Medicine
3630 EAST IMPERIAL HIGHWAY
LYNWOOD, CA 90262
Physician Assistant (Surgical)
3630 EAST IMPERIAL HIGHWAY, STE 2101
LYNWOOD, CA 90262
Physician Assistant (Medical)
3630 EAST IMPERIAL HIGHWAY
LYNWOOD, CA 90262
Emergency Medicine
3630 EAST IMPERIAL HIGHWAY
LYNWOOD, CA 90262

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649204470, enumerated as an "individual" on July 10, 2006.

The provider is located at 3630 EAST IMPERIAL HIGHWAY LYNWOOD, CA 90262 and the phone number is (310) 900-8900.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.