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EDWIN ADAN BALLESTEROS
NPI 1821963307
Counselor - Addiction (Substance Use Disorder) in San Fernando, CA

Active since October 06, 2025
762 GRISWOLD AVE, SAN FERNANDO, CA 91340(747) 500-9405(747) 500-9405 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edwin Adan Ballesteros NPPES

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

EDWIN ADAN BALLESTEROS (NPI 1821963307) is an individual addiction (substance use disorder) provider in San Fernando, California, licensed in California (22610) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1821963307
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameEDWIN ADAN BALLESTEROS
Location Address762 GRISWOLD AVESan Fernando, CA 91340-2105
Mailing Address762 Griswold AveSan Fernando, CA 91340-2105 · (747) 500-9405 · Fax (747) 500-9405
Phone(747) 500-9405
Fax(747) 500-9405
Sole ProprietorYes
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1821963307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 22610
762 GRISWOLD AVE, San Fernando, CA 91340
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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.

MS. DOLORES BONNIE GUERRERO-REYNALDO LVN
Licensed Vocational Nurse
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
RICHARD KEITH JOHN JR.
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
MR. CHARLES NICKELL
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
CAINE HERRERA
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
SAN FERNANDO RECOVERY CENTER
Substance Abuse Rehabilitation Facility
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
MARTHA VANESSA ALMENDAREZ
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
RYAN CURIEL
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
MARINA NICOLETI
Student in an Organized Health Care Education/Training Program
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405

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 Edwin Ballesteros's NPI number?

The NPI number for Edwin Ballesteros is 1821963307. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Edwin Ballesteros located?

Edwin Ballesteros practices at 762 Griswold Ave, San Fernando, CA 91340. The listed phone number is (747) 500-9405.

What is Edwin Ballesteros's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Edwin Ballesteros was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.