Dr. Yohualli Balderas-medina Anaya
Dr. Yohualli Balderas-medina · Family Medicine

Address: 1920 Colorado Ave, 2nd Floor, Santa Monica, CA 90404-3414
Phone: 3103194700

Dr. Yohualli Balderas-medina Anaya (NPI# 1104260702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1104260702
Entity Type Individual
Full Name Dr. Yohualli Balderas-medina Anaya
Other Name Dr. Yohualli Balderas-medina
Credential M.D.
Gender Female
Practice Address 1920 Colorado Ave
2nd Floor
Santa Monica
CA 90404-3414
Practice Telephone 3103194700
Mailing Address 1920 Colorado Ave
2nd Floor
Santa Monica
CA 90404-3414
Mailing Telephone 3103194700
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2013-04-25
Last Update Date 2016-11-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians A135425 CA
No 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Physician Overview

NPI 1104260702
PAC ID by PECOS 4486940277
Professional Enrollment ID I20160902000912
Full Name Youhualli Anaya
Organization Legal Name UC REGENTS UCLA FAMILY HEALTH CENTER
Phone Number 3103194700
Gender F
Graduation Year 2011
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 9739083866
Number of Group Practice Members 34
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050112 SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL

Office Location

Street Address 1920 COLORADO AVE
2ND FLOOR
City SANTA MONICA
State CA
Zip Code 90404-3414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275591802 Uc Regents Ucla Family Health Center Family Medicine 1920 Colorado Ave, Santa Monica, CA 90404-3414 2006-05-03
1093212334 Amy M Richards Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2018-04-12
1922505494 Angela Patricia Sepulveda Velez Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2018-04-10
1578060588 Jennifer Kho Ting Casabar Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2018-04-07
1992202808 Michael Ohkura Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2018-04-07
1275030397 Abhipsa Kar Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2018-04-06
1881190072 Lauren Kim Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2018-04-05
1669978862 Brian Patrick Donohoe Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2018-04-05
1407380975 Vinh Lam Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2017-04-11
1972034411 Amy Anne Tressan Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2017-03-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841763687 Crystal Monique Mckinley X Counselor 1865 9th St, Santa Monica, CA 90404 2019-01-04
1952872749 Cesar O Munoz Counselor 1865 9th St., Santa Monica, CA 90404 2018-12-06
1023596574 Joseph J Pinzone Md Inc Internal Medicine 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 2018-08-06
1548763535 Alan Rubenstein Dds Inc Dentist 1260 15th St., #703, Santa Monica, CA 90404 2018-03-15
1669993382 Aaron Wilson Counselor 1453 16th Street, Santa Monica, CA 90404 2017-07-03
1922472471 Chianni Lin Acupuncturist 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 2015-11-20
1467823278 Alexandra Daniela Arroyo Behavior Analyst 1838 22nd St Apt 2, Santa Monica, CA 90404 2015-10-20
1720498504 Alan Jeff Baldrias Nurse Practitioner 3300 East South St. # 203, Long Beach, CA 90404 2014-05-02
1598185647 Matthew Mcadams Rehabilitation Practitioner 1453 16th St., Santa Monica, CA 90404 2014-04-16
1720410061 Jennafer Diane Piccolo Francis Physician Assistant 9915 S. Santa Monica Blvd, Beverly Hills, CA 90404 2013-08-08
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy 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.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316380769 Juan Manuel Cabrales Family Medicine 1920 Colorado Ave Fl 2, Santa Monica, CA 90404-3414 2013-04-15
1730423229 Lawrence M Rosen Family Medicine 305 Alta Ave, Santa Monica, CA 90402-2729 2012-11-21
1295029882 Jenny Jie Bao Family Medicine 2001 Santa Monica Blvd Ste 370w, Santa Monica, CA 90404-2105 2011-06-01
1437391554 Amy Gelfand Family Medicine 1027 Princeton St, Santa Monica, CA 90403-4701 2009-04-03
1740426352 Adel E. Salawy Family Medicine 201 Ocean Ave, 1609-b, Santa Monica, CA 90402 2009-01-02
1205081916 Gerald Klaz Family Medicine 50 Village Park Way, Santa Monica, CA 90405 2008-11-21
1942460605 Diane Rhee Kim Family Medicine 1920 Colorado Blvd., Santa Monica, CA 90404 2008-06-16
1831301845 Watson Medical Inc Family Medicine 3201 Wilshire Blvd Ste 211, Santa Monica, CA 90403-2337 2007-05-03
1619199791 Stephanie Canale Family Medicine 2428 Santa Monica Blvd Ste 200, Santa Monica, CA 90404-2046 2007-05-02
1053532044 Edison Victor De Mello Family Medicine 520 Arizona Avenue, Santa Monica, CA 90401 2007-05-01
Find all providers in SANTA MONICA

Competitor

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City SANTA MONICA
Zip Code 90404

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Dataset Information

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.

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