NASER M ELBALALESY MD
NPI 1720178817
Pediatrics - Neurodevelopmental Disabilities in Orange, CA

Active since October 13, 2006PECOS Enrolled
455 S MAIN ST, ORANGE, CA 92868(714) 532-7601(714) 532-7650 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Naser M Elbalalesy Md NPPES

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

NASER M ELBALALESY MD (NPI 1720178817) is an individual neurodevelopmental disabilities provider in Orange, California, licensed in California (A73709) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720178817
Entity TypeIndividualMale
Primary Taxonomy2080P0008X
Provider Legal NameNASER M ELBALALESYCredential: MD
Location Address455 S MAIN STOrange, CA 92868-3835
Mailing Address455 S Main StOrange, CA 92868-3835 · (714) 289-4511 · Fax (714) 289-4788
Fax(714) 532-7650
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720178817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
License✔ Licensed in CA · A73709
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
455 S MAIN ST, Orange, CA 92868

Other Identifiers 2

Medicaid00A737090CA
Medicare UPINH77977CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Naser M Elbalalesy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Naser Elbalalesy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
12555 GARDEN GROVE BLVD STE 306
Garden Grove, CA 92843
  • Reassigned Medicare billing, California enrollment
  • 279 clinicians in this Medicare group

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

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.

Surgery (Pediatric Surgery)
455 S MAIN ST, GENERAL SURGERY
ORANGE, CA 92868
Pediatrics
455 S MAIN ST
ORANGE, CA 92868
Nurse Practitioner (Pediatrics, Critical Care)
455 S MAIN ST
ORANGE, CA 92868
Pediatrics (Neonatal-Perinatal Medicine)
455 S MAIN ST
ORANGE, CA 92868
Pediatrics (Pediatric Gastroenterology)
455 S MAIN ST
ORANGE, CA 92868
Pediatrics
455 S MAIN ST
ORANGE, CA 92868
Psychiatry & Neurology (Neurology)
455 S MAIN ST
ORANGE, CA 92868
Nurse Practitioner (Pediatrics)
455 S MAIN ST
ORANGE, CA 92868

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 Naser Elbalalesy's NPI number?

The NPI number for Naser Elbalalesy is 1720178817. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Naser Elbalalesy located?

Naser Elbalalesy practices at 455 S Main St, Orange, CA 92868. The listed phone number is (714) 532-7601.

What is Naser Elbalalesy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Is Naser Elbalalesy enrolled in Medicare?

Yes. Naser Elbalalesy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Naser Elbalalesy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Naser Elbalalesy reassigns Medicare benefits to Prohealth Partners, A Medical Group, Inc. (Garden Grove, 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 Naser Elbalalesy'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 Naser Elbalalesy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.