Kristopher Kevin Caballero Baluyot
NPI 1215402185ActiveIndividual· Physician Assistant, Medical· Glendale, CA
Physician Assistant, Medical with Shine Mmg Inc and 2 other groups, practicing in Glendale, California. In 2024 Medicare paid $254,123 for 1,294 patients, and Part D covered 727 of their prescriptions, 85% of them generic.
Overview
| NPI | 1215402185 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Oct 8, 2018 |
| Last updated in NPPES | Feb 20, 2024 |
| Certified by provider | Feb 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | — | — |
| Respiratory Therapist, Registered, Neonatal/Pediatrics | 2279P3900X | 26505 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,294 |
|---|---|
| Services billed | 3,746 across 11 procedure codes |
| Paid by Medicare | $254,123 |
Part D prescriptions in 2024
| Prescriptions (claims) | 727 · 772 30-day fills |
|---|---|
| Patients | 115 |
| Total drug cost | $44,576 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Shine Mmg IncGlendale, CA · 24 clinicians
- Aande Medical Group-A Professional Nursing CorporationGlendale, CA · 21 clinicians
- California Mobile Medical Group IncGlendale, CA · 15 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 21 physician assistants in Glendale · All physician assistants in California