MEDICARE: PETER BALES, M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	G63997	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1669568994	OTHER	CA	INDIVIDUAL PROVIDER NPI

General Provider Information

NPI Number	:	1457400558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PETER BALES, M.D., INC.

Provider Business Mailing Address
First Line	:	PO BOX 44
Second Line	:
City	:	LOOMIS
State	:	CA
Zip	:	95650-0044
Country	:	US
Telephone Number	:	916-788-8201
Fax Number	:	916-788-8205

Provider Business Practice Location Address
First Line	:	1613 EUREKA RD
Second Line	:	SUITE 100
City	:	ROSEVILLE
State	:	CA
Zip	:	95661-3029
Country	:	US
Telephone Number	:	916-788-8201
Fax Number	:	916-788-8205

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PETER BALES
Credential	:	M.D.
Telephone Number	:	916-788-8201

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1497293963 — ROSEVILLE ASSISTED LIVING LLC
Practice Location Address:

2727 VICTORIA ST N
ROSEVILLE, MN
55113-3029

Practice Phone: 952-935-0333
Practice Fax:

1861930331 — ESTATES AT ROSEVILLE LLC
Practice Location Address:

2727 VICTORIA ST N
ROSEVILLE, MN
55113-3029

Practice Phone: 507-625-8741
Practice Fax:

1669008165 — KAREN VILLANUEVA-BERNAL
Practice Location Address:

5470 KIETZKE LN
RENO, NV
89511-3023

Practice Phone: 775-393-3029
Practice Fax:

1871448100 — DENYS PETROVYCH
Practice Location Address:

1478 STONE POINT DR STE 200
ROSEVILLE, CA
95661-2869

Practice Phone: 916-771-7444
Practice Fax: 916-771-7444

1417806365 — KYLIE VILLARREAL
Practice Location Address:

1085 SANDRINGHAM WAY
ROSEVILLE, CA
95661-5321

Practice Phone: 916-642-7800
Practice Fax:

1780539056 — TIFFANY ANAYA
Practice Location Address:

1478 STONE POINT DR STE 200
ROSEVILLE, CA
95661-2869

Practice Phone: 916-771-7444
Practice Fax:

Directions to “PETER BALES, M.D., INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.