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DR. JUAN RODERICK BALZA PAGSOLINGAN D.P.M. NPI 1063498749


NPI Information

NPI: 1063498749
Provider Name: DR. JUAN RODERICK BALZA PAGSOLINGAN, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
210 CANAL ST
KING CITY, CA
ZIP 93930
Phone: (831) 385-5471
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DR. Juan Roderick Balza Pagsolingan, D.P.M. is a foot and ankle surgery podiatrist in King City, CA with 28 years of experience. DR. Juan Roderick Balza Pagsolingan, D.P.M. NPI is 1063498749. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1996

The provider's business location address is:

210 CANAL ST
KING CITY, CA
ZIP 93930-432
Phone: (831) 385-5471
Fax: (831) 385-5940

The NPI 1063498749 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 12/15/2005 and was last updated on 11/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristE4169CALIFORNIANo
2213ES0103XPodiatristFoot & Ankle SurgeryE4169CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100E416900MEDICAIDCALIFORNIA
2000E41692MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3EG577ZMEDICARE OSCAR/CERTIFICATIONCALIFORNIA
4U72955MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.