KRISTOPHER KEVIN CABALLERO BALUYOT – Medical Physician Assistant, NPI 1215402185

KRISTOPHER KEVIN CABALLERO BALUYOT is a healthcare provider. based in Los angeles, California. specializing in PHYSICIAN ASSISTANT. They hold a License No. 26505 (CA). The NPI Number for KRISTOPHER KEVIN CABALLERO BALUYOT is 1215402185

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
KRISTOPHER KEVIN CABALLERO BALUYOT
NPI
1215402185
Phone
(323) 783-8336
Address
4867 W SUNSET BLVD
Enumeration Date
8 October 2018
Last Update Date
20 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8189456003
Graduation Year
2021 (5 years ago)
PAC ID
5799179305
Group Practice PAC ID
8224397963
Professional Enrollment ID
I20220224002399
Address ID
CA912032627GL130XXBLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for KRISTOPHER KEVIN CABALLERO BALUYOT

  • 4867, West Sunset Boulevard, East Hollywood, Los Angeles, Los Angeles County, California, 90027, United States

    LOS ANGELES, CA 900275969

    Phone: (323) 783-8336

    Type: Location

  • 19250 PRAIRIE ST

    NORTHRIDGE, CA 913242725

    Phone: (818) 357-1134

    Type: Location

  • 130 N BRAND BLVD STE 208

    GLENDALE, CA 912032627

    Phone:

    Type: Mailing

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: 2022-02-24

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
I20220224002399IPhysician AssistantCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99473Education and training to self measure blood pressure1,4811,116$0
99497Advance care planning, first 30 minutes1,311986$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes1,232932$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes461461$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit430430$0
View full utilization report →

Insurance plans in this area (ZIP 90027)

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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: 8224397963View full group profile
NameSpecialtyState
-CA
-TX
Family Practice, General Practice, Geriatric Medicine, Internal Medicine, Pediatric MedicineCA
-CA
Family Practice, General PracticeCA
-CA
Nurse PractitionerCA
-CA
-CA
Emergency MedicineCA

Reviews

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Frequently asked questions

What is the standard ID for KRISTOPHER KEVIN CABALLERO BALUYOT in the U.S.?
In the U.S., KRISTOPHER KEVIN CABALLERO BALUYOT is identified by NPI 1215402185.
Is KRISTOPHER KEVIN CABALLERO BALUYOT's NPI status active today?
Active status means KRISTOPHER KEVIN CABALLERO BALUYOT's NPI record is not deactivated in the public file.
How should patients interpret KRISTOPHER KEVIN CABALLERO BALUYOT's specialty?
The extract shows Medical Physician Assistant for KRISTOPHER KEVIN CABALLERO BALUYOT. Clinical services aligned with this taxonomy classification.
What city is tied to KRISTOPHER KEVIN CABALLERO BALUYOT?
The directory associates KRISTOPHER KEVIN CABALLERO BALUYOT with Los Angeles, California. Check all listed addresses for suites or satellite offices.
Can I export KRISTOPHER KEVIN CABALLERO BALUYOT's record?
You can download the official NPPES record; we summarize key fields for readability.

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