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

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
1400 S GRAND AVE STE 101, LOS ANGELES, CA 90015(213) 744-0801 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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
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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

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.

Medicare Billing Reassignment

Medicare enrollment records show Arnel Balbuena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
4.5 mi
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011

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

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
1400 S GRAND AVE STE 101
LOS ANGELES, CA 90015
Los Angeles County (213) 744-0801
MICHAEL DOWNING MD
Family Medicine
1400 S GRAND AVE STE 101
LOS ANGELES, CA 90015
Los Angeles County (213) 744-0801
DR. TONY TRUONG MD
Family Medicine
1400 S GRAND AVE STE 101
LOS ANGELES, CA 90015
Los Angeles County (213) 744-0801
GABRIELA FLORES
Social Worker
1400 S GRAND AVE STE 101
LOS ANGELES, CA 90015
Los Angeles County (213) 744-2236
MICHELLE GAVIN D.O.
Student in an Organized Health Care Education/Training Program
1400 S GRAND AVE STE 101
LOS ANGELES, CA 90015
Los Angeles County (213) 744-0801
DR. MICHELLE CRESPO MD, MPH
Family Medicine
1400 S GRAND AVE STE 101
LOS ANGELES, CA 90015
Los Angeles County (213) 741-1106
DR. TRACEY LEE NORTON D.O.
Family Medicine (Adolescent Medicine)
1400 S GRAND AVE STE 101
LOS ANGELES, CA 90015
Los Angeles County (213) 744-0801
EUN JUNG KIM D.O.
Student in an Organized Health Care Education/Training Program
1400 S GRAND AVE STE 101
LOS ANGELES, CA 90015
Los Angeles County (213) 744-0801

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 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.

Where is Arnel Balbuena located?

Arnel Balbuena practices at 1400 S Grand Ave Ste 101, Los Angeles, CA 90015. The listed phone number is (213) 744-0801.

What is Arnel Balbuena's specialty?

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

Is Arnel Balbuena enrolled in Medicare?

Yes. Arnel Balbuena 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 organization bills Medicare for Arnel Balbuena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arnel Balbuena reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Arnel Balbuena'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 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.