DR. ARNEL ANTHONY BALBUENA M.D. - NPI 1649472606 - Family Medicine in Los Angeles, CA

Q: What is Arnel Balbuena's NPI number?

The NPI number for Arnel Balbuena is 1649472606. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Q: What is Arnel Balbuena's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Arnel Balbuena was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

On this page

About Dr. Arnel Anthony Balbuena M.d. NPPES

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

DR. ARNEL ANTHONY BALBUENA M.D. (NPI 1649472606) is an individual family medicine provider in Los Angeles, California, licensed in California (A93158) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1649472606

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ARNEL ANTHONY BALBUENACredential: M.D.

Location Address1400 S GRAND AVE STE 101Los Angeles, CA 90015-3048

Mailing Address8223 Blackburn Ave Apt 201Los Angeles, CA 90048-4275 · (213) 590-1442

Phone(213) 744-0801

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateJune 1, 2007

Last NPPES UpdateNovember 23, 2021

NPPES CertifiedNovember 23, 2021

✔ NPI 1649472606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A93158

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1400 S GRAND AVE STE 101, Los Angeles, CA 90015

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Arnel Anthony Balbuena M.d. 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 ID9335209097

PECOS Enrollment IDI20081125000634

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90015 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 8

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

DR. ROBERTO FERNANDO JORDAN MD

Family Medicine