Nicholas A. Balderas, PT, DPT
NPI 1194658906ActiveIndividual· Physical Therapist· Santa Fe Springs, CA
Physical Therapist (PT, DPT) with California Luna Care Physical Therapy PC, practicing in Santa Fe Springs, California. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1194658906 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jun 3, 2026 |
| Last updated in NPPES | Jun 3, 2026 |
| Certified by provider | Jun 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 310278 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- California Luna Care Physical Therapy PCLos Gatos, CA · 780 clinicians
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