MATTHEW BALANTAC (NPI# 1952969990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952969990 |
| Entity Type | Individual |
| Full Name | MATTHEW BALANTAC |
| Credential | BA |
| Practice Address |
2 Edgewood Ct Daly City CA 94014-1841 |
| Practice Telephone | 6509947110 |
| Practice Fax Number | 6509947180 |
| Mailing Telephone | 6509947110 |
| Mailing Fax Number | 6509947180 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2 EDGEWOOD CT |
| City | DALY CITY |
| State | CA |
| Zip Code | 94014-1841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326186420 | Caminar | Community Based Residential Treatment Facility, Mental Illness | 2 Edgewood Ct, Daly City, CA 94014 | 2007-02-01 |
| 1356970925 | Gerardo Martinez | Counselor | 2 Edgewood Ct, Daly City, CA 94014-1841 | 2020-04-06 |
| 1710547773 | Stephanie M Jones | Counselor | 2 Edgewood Ct, Daly City, CA 94014-1841 | 2019-06-20 |
| 1770056509 | Amanda Lantieri | Counselor | 2 Edgewood Ct, Daly City, CA 94014-1841 | 2019-01-03 |
| 1730663501 | Anthony Keoki Gracia | Counselor | 2 Edgewood Ct, Daly City, CA 94014-1841 | 2018-09-18 |
| 1154804300 | Kathy Gonzalez | Counselor | 2 Edgewood Ct, Daly City, CA 94014-1841 | 2018-09-13 |
| 1376023895 | Marc Lawson | Student in an Organized Health Care Education/Training Program | 2 Edgewood Ct, Daly City, CA 94014-1841 | 2018-08-14 |
| 1285120782 | Lauri Ann Bowser | Counselor | 2 Edgewood Ct, Daly City, CA 94014-1841 | 2018-07-08 |
| 1922516392 | Veronica Marin | Counselor | 2 Edgewood Ct, Daly City, CA 94014-1841 | 2018-01-18 |
| 1982111985 | Andy Yiu Wing Chan | Counselor | 2 Edgewood Ct, Daly City, CA 94014-1841 | 2017-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134644073 | Abl Health Care, LLC | Registered Nurse | 6150 Mission Street, #103, Daly City, CA 94014 | 2017-08-11 |
| 1285972422 | My Tu Duong Pang | Dietitian, Registered | 2001 Junipero Serra Blvd Ste 100, Daly City, CA 94014 | 2013-01-23 |
| 1821341934 | Meta Indrajanti Darmawan | Dentist | 6273 Mission St #200, Daly City, CA 94014 | 2012-10-26 |
| 1174828792 | Yahaira Cruz Ortega | Counselor | 9 Cypress Ct, Daly City, CA 94014 | 2011-01-12 |
| 1548574189 | Sas Global LLC | Non-emergency Medical Transport (VAN) | 66 San Pedro Road, Suite C2, Daly City, CA 94014 | 2010-08-05 |
| 1083943955 | Dorie Paniza | Physical Therapist | 171a School St., Daly City, CA 94014 | 2009-12-23 |
| 1700074853 | Gaurav Abbi | Orthopaedic Surgery | 2171 Junipero Serra Blvd Ste 388, Daly City, CA 94014 | 2007-10-12 |
| 1619176252 | Gracia Cua | Dentist | 2171 Junipero Serra Blvd, Suite 110, Daly City, CA 94014 | 2007-07-13 |
| 1740489624 | Kelvin Tan | Dentist | 220 First Ave, Daly City, CA 94014 | 2007-07-12 |
| 1952446098 | Suzette M. Villanueva | Dentist | 7621 El Camino Real, Colma, CA 94014 | 2007-02-20 |
| Find all providers in zip 94014 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056947 | Marissa Nicole Wilson | Counselor | 227 Buena Vista Ave, Daly City, CA 94015-2120 | 2020-09-01 |
| 1902326796 | Wendy Chan | Counselor | 333 Gellert Blvd Ste 206, Daly City, CA 94015-2659 | 2017-06-22 |
| 1225380561 | Glynis Lavern Adams | Counselor | 900 Campus Dr Apt 206, Daly City, CA 94015-4927 | 2012-10-10 |
| 1174828792 | Yahaira Cruz Ortega | Counselor | 9 Cypress Ct, Daly City, CA 94014 | 2011-01-12 |
| 1841486321 | Mia Rachel Gutfreund | Counselor | 699 Serramonte Blvd Ste 300, Daly City, CA 94015-4132 | 2007-09-19 |
| 1619027570 | Marianne Laruffa | Counselor | 350 90th Street, 3rd Floor, Daly City, CA 94015 | 2007-01-11 |
| 1992326391 | Abigail Esquivel-valdez | Counselor | 2001 Junipero Serra Blvd Ste 500, Daly City, CA 94014-3888 | 2020-04-27 |
| 1710547773 | Stephanie M Jones | Counselor | 2 Edgewood Ct, Daly City, CA 94014-1841 | 2019-06-20 |
| 1770056509 | Amanda Lantieri | Counselor | 2 Edgewood Ct, Daly City, CA 94014-1841 | 2019-01-03 |
| 1730663501 | Anthony Keoki Gracia | Counselor | 2 Edgewood Ct, Daly City, CA 94014-1841 | 2018-09-18 |
| Find all providers in DALY CITY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.