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DR. YOHUALLI BALDERAS-MEDINA ANAYA M.D. NPI 1104260702


NPI Information

NPI: 1104260702
Provider Name: DR. YOHUALLI BALDERAS-MEDINA ANAYA, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: COUNTY OF LOS ANGELES

PECOS Registration: Yes

Address:
1920 COLORADO AVE
2ND FLOOR
SANTA MONICA, CA
ZIP 90404
Phone: (310) 319-4700
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DR. Yohualli Balderas-medina Anaya, M.D. is a family medicine in Santa Monica, CA with 13 years of experience. The provider is 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. DR. Yohualli Balderas-medina Anaya, M.D. NPI is 1104260702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1920 COLORADO AVE
2ND FLOOR
SANTA MONICA, CA
ZIP 90404-414
Phone: (310) 319-4700
Fax: (310) 453-5106

The NPI 1104260702 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), Power Mobility Devices.

The enumeration date for this NPI number is 4/25/2013 and was last updated on 12/4/2019.


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
1207Q00000XFamily MedicineA135425CALIFORNIAYes

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: 11/14/2023

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.