Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Danielle Balestra, PA

Individual provider Physician Assistant · NPI 1780308890

Danielle Balestra, PA is a Physician Assistant in San Rafael, California. Qualified in 2023, 3 years ago. Practices with Lenox Hill Hospital Medical PC, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
3
Licensed in
CA, NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4000 Civic Center Dr Ste 200B
San Rafael, CA 94903-5232
Phone: (415) 492-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 130 E 77th St Fl 10, New York, NY 10075-1851 — (212) 434-4556

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA68135 (CA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 031446 (NY)

Record details

NPI number1780308890
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 3, 2022
Last updated in NPPESJune 28, 2026
Certification dateJune 28, 2026
Mailing address130 E 77th St Fl 10, New York, NY 10075-1851

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lenox Hill Hospital Medical Pc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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