DR. MELISSA BALDERRAMA PHD
NPI 1871946277
Clinical Neuropsychologist in Los Angeles, CA

Q: What is Melissa Balderrama's NPI number?

The NPI number for Melissa Balderrama is 1871946277. It was assigned to this individual provider in the NPPES registry on July 20, 2016.

Q: What is Melissa Balderrama's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since July 20, 2016PECOS Enrolled

4650 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 361-4100 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Melissa Balderrama Phd NPPES

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

DR. MELISSA BALDERRAMA PHD (NPI 1871946277) is an individual clinical neuropsychologist in Los Angeles, California and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871946277

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. MELISSA BALDERRAMACredential: PHD

Location Address4650 W SUNSET BLVDLos Angeles, CA 90027-6062

Mailing Address3701 Wilshire BlvdLos Angeles, CA 90010-2804 · (323) 361-2337 · Fax (323) 361-8491

Phone(323) 361-4100

Sole ProprietorNo

Enumeration DateJuly 20, 2016

Last NPPES UpdateSeptember 13, 2016

✔ NPI 1871946277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

4650 W SUNSET BLVD, Los Angeles, CA 90027

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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 (PECOS)

Dr. Melissa Balderrama Phd 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 Melissa Balderrama reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Los Angeles Medical Group, Inc.

Same address

Multi-Specialty

4650 SUNSET BLVD
Los Angeles, CA 90027

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
1,281 clinicians in this Medicare group

NPI 1265530653 (323) 361-2337

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.

DR. MARK HENDRIK CORDEN M.D.

Pediatrics

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 361-8893

MS. ROBERTA MIYEKO KATO MD

Pediatrics (Pediatric Pulmonology)

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 361-2101

CHILDREN'S HOSPITAL LOS ANGELES

General Acute Care Hospital (Children)

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 361-3644

JESSICA ELIZABETH GREIM DPT, PT

Physical Therapist (Pediatrics)

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (310) 361-2118

MOLLY CEVASCO PH.D., BCBA

Psychologist (Clinical Child & Adolescent)

4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027

Los Angeles County (323) 361-3849

GINNY KIM THAN NP

Nurse Practitioner (Pediatrics)

4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027

Los Angeles County (323) 361-3033

DOUGLAS SHAPIRO MD

Pediatrics (Pediatric Emergency Medicine)

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 660-2450

ALEXANDRA LYNN JOSTES MD

Student in an Organized Health Care Education/Training Program

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 361-2122

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 Melissa Balderrama's NPI number?

The NPI number for Melissa Balderrama is 1871946277. It was assigned to this individual provider in the NPPES registry on July 20, 2016.

Where is Melissa Balderrama located?

Melissa Balderrama practices at 4650 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 361-4100.

What is Melissa Balderrama's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Melissa Balderrama enrolled in Medicare?

Yes. Melissa Balderrama is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa Balderrama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Balderrama reassigns Medicare benefits to Children's Hospital Los Angeles Medical Group, Inc. (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 Melissa Balderrama'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 Melissa Balderrama was last updated on September 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.