RODOLFO BALDERAS
NPI 1649808460
Internal Medicine in Chula Vista, CA

Q: What is Rodolfo Balderas's NPI number?

The NPI number for Rodolfo Balderas is 1649808460. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Q: What is Rodolfo Balderas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Rodolfo Balderas was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 28, 2020PECOS EnrolledAccepts Medicare Assignment

678 3RD AVE, CHULA VISTA, CA 91910(619) 662-4100 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2023, Aug 31, 2023, Mar 28, 2020 (3 updates tracked since 2020).

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About Rodolfo Balderas NPPES

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

RODOLFO BALDERAS (NPI 1649808460) is an individual internal medicine provider in Chula Vista, California, licensed in California (A188075) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1649808460

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameRODOLFO BALDERAS

Location Address678 3RD AVEChula Vista, CA 91910-5736

Mailing Address678 3rd AveChula Vista, CA 91910-5736 · (619) 662-4100

Phone(619) 662-4100

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 28, 2020

Last NPPES UpdateJuly 23, 20253 updates tracked since enumeration

NPPES CertifiedJuly 23, 2025

✔ NPI 1649808460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A188075

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

678 3RD AVE, Chula Vista, CA 91910

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Rodolfo Balderas 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 ID4385090083

PECOS Enrollment IDI20231101002704

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

55 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91910 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

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Other Providers at the Same Location NPPES 20

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

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