Kristopher Kevin Caballero Baluyot
Kristopher Kevin Caballero Baluyot is a Physician Assistant in Glendale, California. Qualified in 2021, 5 years ago. Practices with Shine Mmg Inc, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 5
- Licensed in
- CA
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
130 N Brand Blvd Ste 208Glendale, CA 91203-2627
Phone: (818) 945-6003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|---|
| Neonatal/Pediatric Registered Respiratory Therapist | Taxonomy 2279P3900X · Licence 26505 (CA) |
Record details
| NPI number | 1215402185 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 8, 2018 |
| Last updated in NPPES | February 20, 2024 |
| Certification date | February 20, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Shine Mmg Inc — 25 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |