BRAIAN JONUE BALLESTEROS – Physical Therapist, NPI 1174313373

BRAIAN JONUE BALLESTEROS is a healthcare provider. based in Menifee, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 307970 (CA). The NPI Number for BRAIAN JONUE BALLESTEROS is 1174313373

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
BRAIAN JONUE BALLESTEROS
NPI
1174313373
Phone
(951) 696-9353
Address
30428 HAUN RD STE 810
Enumeration Date
9 May 2025
Last Update Date
9 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7607238337
Graduation Year
2024 (2 years ago)
PAC ID
0244759199
Group Practice PAC ID
2365346491
Professional Enrollment ID
I20250523001463
Address ID
CA920283082FA521XXSTXX404
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for BRAIAN JONUE BALLESTEROS

  • 30428 HAUN RD STE 810

    MENIFEE, CA 925846824

    Phone: (951) 696-9353

    Type: Mailing

  • 521 E ELDER ST STE 106

    FALLBROOK, CA 920283082

    Phone: (760) 723-8337

    Fax: (760) 723-5476

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250523001463IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92584)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365346491View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
-CA
-CA

Reviews

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Frequently asked questions

How is BRAIAN JONUE BALLESTEROS identified in CMS data?
CMS-hosted NPPES data lists BRAIAN JONUE BALLESTEROS with NPI 1174313373.
Does the file indicate BRAIAN JONUE BALLESTEROS is practicing under active NPI?
Directory data currently reports BRAIAN JONUE BALLESTEROS as active.
What healthcare role does BRAIAN JONUE BALLESTEROS hold?
Scheduling teams often label BRAIAN JONUE BALLESTEROS under Physical Therapist. Clinical services aligned with this taxonomy classification.
Does BRAIAN JONUE BALLESTEROS list a practice location?
Patients near Menifee, California may find BRAIAN JONUE BALLESTEROS in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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