MEDICARE: ANDREW MICHAEL BALLESTER

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	390200000X	Student in an Organized Health Care Education/Training Program

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

General Provider Information

NPI Number	:	1568191799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW MICHAEL BALLESTER

Provider Business Mailing Address
First Line	:	101 THE CITY DR S
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-3201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 THE CITY DR S
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-3201
Country	:	US
Telephone Number	:	714-732-0543
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2022
Last Update Date	:	04/07/2026

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1326894692 — CHADBOURNE AUSTIN ZITEK
Practice Location Address:

101 THE CITY DR S
ORANGE, CA
92868-3201

Practice Phone: 714-456-5922
Practice Fax:

1952945669 — KEVIN GRAMAJO-APONTE
Practice Location Address:

101 THE CITY DR S STE 400
ORANGE, CA
92868-3201

Practice Phone: 714-456-5691
Practice Fax:

1972184497 — SHILPA GHATNEKAR
Practice Location Address:

101 THE CITY DR S
ORANGE, CA
92868-3201

Practice Phone: 714-456-7070
Practice Fax:

1679415129 — NATSUKI EGUCHI
Practice Location Address:

101 THE CITY DR S
ORANGE, CA
92868-3201

Practice Phone: 714-456-7890
Practice Fax:

1295173250 — SCOTT A FLEMING MD
Practice Location Address:

101 THE CITY DR S
ORANGE, CA
92868-3201

Practice Phone: 714-456-8888
Practice Fax:

Directions to “ ANDREW MICHAEL BALLESTER ” 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.