FREDRIC D. BALGUMA DO
NPI 1902069578
Family Medicine in Irvine, CA

Active since July 03, 2008PECOS Enrolled
4050 BARRANCA PKWY, SUITE 200, IRVINE, CA 92604(949) 551-1090 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fredric D. Balguma Do NPPES

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

FREDRIC D. BALGUMA DO (NPI 1902069578) is an individual family medicine provider in Irvine, California, licensed in California (20A9975) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902069578
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFREDRIC D. BALGUMACredential: DO
Location Address4050 BARRANCA PKWY, SUITE 200Irvine, CA 92604-7706
Mailing Address17360 Brookhurst St, Attn: Mcmf - Credentialing Dept.Fountain Valley, CA 92708-3720
Sole ProprietorNo
Enumeration DateJuly 3, 2008
Last NPPES UpdateDecember 2, 2021
✔ NPI 1902069578 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 · 20A9975
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.
4050 BARRANCA PKWY, Irvine, CA 92604

Other Identifiers 2

Medicaid621179-02HI
Other0000277707HI · Hmsa Billing Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fredric D. Balguma Do 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 Reassignments

2

Medicare enrollment records show Fredric Balguma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
Clinical Medical Laboratory
13000 PEYTON DR
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 5,228 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92604 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 20

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

Family Medicine
4050 BARRANCA PKWY, SUITE 200
IRVINE, CA 92604
Family Medicine
4050 BARRANCA PKWY, SUITE 200
IRVINE, CA 92604
Clinic/Center (Radiology)
4050 BARRANCA PKWY, SUITE 160
IRVINE, CA 92604
Internal Medicine (Cardiovascular Disease)
4050 BARRANCA PKWY, SUITE 110
IRVINE, CA 92604
Pediatrics (Adolescent Medicine)
4050 BARRANCA PKWY, SUITE 270
IRVINE, CA 92604
Internal Medicine
4050 BARRANCA PKWY, SUITE 200
IRVINE, CA 92604
Internal Medicine (Adolescent Medicine)
4050 BARRANCA PKWY, SUITE 250
IRVINE, CA 92604
Pharmacy (Community/Retail Pharmacy)
4050 BARRANCA PKWY, SUITE 150
IRVINE, CA 92604

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 Fredric Balguma's NPI number?

The NPI number for Fredric Balguma is 1902069578. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Where is Fredric Balguma located?

Fredric Balguma practices at 4050 Barranca Pkwy Suite 200, Irvine, CA 92604. The listed phone number is (949) 551-1090.

What is Fredric Balguma's specialty?

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

Is Fredric Balguma enrolled in Medicare?

Yes. Fredric Balguma is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fredric Balguma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fredric Balguma reassigns Medicare benefits to 2 organizations: Memorialcare Medical Foundation (Fountain Valley, CA) and Southern California Permanente Medical Group (Chino Hills, CA). Each 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 Fredric Balguma'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 Fredric Balguma was last updated on December 2, 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.