DR. LILY C BALETTE M.D
NPI 1902960388
Pediatrics - Neonatal-Perinatal Medicine in Gardena, CA

Active since December 20, 2006CLIA 05D1065039 · Waiver
1141 W REDONDO BEACH BLVD, SUITE #202, GARDENA, CA 90247(310) 327-0245(310) 327-0116 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lily C Balette M.d NPPES

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

DR. LILY C BALETTE M.D (NPI 1902960388) is an individual neonatal-perinatal medicine provider in Gardena, California, licensed in California (A76470) and active in the NPI registry since December 2006. She holds a CLIA Waiver certificate valid through February 19, 2027.

NPPES Registry Identity

NPI1902960388
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. LILY C BALETTECredential: M.D
Location Address1141 W REDONDO BEACH BLVD, SUITE #202Gardena, CA 90247
Mailing Address1141 W. Redondo Beach Blvd, Suite #202Gardena, CA 90247 · (310) 327-0245 · Fax (310) 327-0116
Fax(310) 327-0116
Sole ProprietorYes
Enumeration DateDecember 20, 2006
Last NPPES UpdateMay 29, 2014
NPI 1902960388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License Licensed in CA · A76470
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1141 W REDONDO BEACH BLVD, Gardena, CA 90247

Other Names 1

Former Name (1)Dr. Lily C Bonet Md

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1065039

Lily Balette MD · Gardena, CA
Active · expires Feb 19, 2027
CLIA Number05D1065039
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorLily Balette MD
Laboratory Phone(310) 327-0245
Laboratory LocationLily Balette MD1141 W Redondo Beach Blvd Ste 211, Gardena, CA 90247
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Specialist
1141 W REDONDO BEACH BLVD, SUITE 402
GARDENA, CA 90247
Pediatrics
1141 W REDONDO BEACH BLVD, # 407
GARDENA, CA 90247
Pediatrics
1141 W REDONDO BEACH BLVD, SUITE 308
GARDENA, CA 90247
Clinic/Center (Podiatric)
1141 W REDONDO BEACH BLVD, SUITE 200
GARDENA, CA 90247
Clinic/Center (Radiology)
1141 W REDONDO BEACH BLVD, SUITE # 105
GARDENA, CA 90247
Pediatrics
1141 W REDONDO BEACH BLVD, SUITE #409
GARDENA, CA 90247
Ophthalmology
1141 W REDONDO BEACH BLVD, SUITE 101
GARDENA, CA 90247
Podiatrist (Foot & Ankle Surgery)
1141 W REDONDO BEACH BLVD, STE 302
GARDENA, CA 90247

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 Lily Balette's NPI number?

The NPI number for Lily Balette is 1902960388. It was assigned to this individual provider in the NPPES registry on December 20, 2006. The provider is also known as Dr. Lily C Bonet MD.

Where is Lily Balette located?

Lily Balette practices at 1141 W Redondo Beach Blvd Suite #202, Gardena, CA 90247. The listed phone number is (310) 327-0245.

What is Lily Balette's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Does Lily Balette hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1065039) is associated with this NPI, valid through February 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lily Balette was last updated on May 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.