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

Kaylie M Balvaneda

Individual provider Physician Assistant · NPI 1568357796

Kaylie M Balvaneda is a Physician Assistant in Thousand Oaks, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

3095 Old Conejo Rd Ste 200
Thousand Oaks, CA 91320-2130
Phone: (805) 298-7034
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7774 Cherry Ave # A, Fontana, CA 92336-4014 — (909) 355-1296

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA66563 (CA)

Record details

NPI number1568357796
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2025
Last updated in NPPESJuly 20, 2025
Certification dateJuly 20, 2025
Mailing address7268 Missouri St, Fontana, CA 92336-0835

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