Fredric D Balguma, DO - Medicare Family Practice in Irvine, CA

Fredric D Balguma, DO is a medicare enrolled "Family Medicine" physician in Irvine, California. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 4050 Barranca Pkwy, Suite 200, Irvine, California. You can reach out to his office (for appointments etc.) via phone at (949) 551-1090.

Fredric D Balguma is licensed to practice in California (license number 20A9975) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902069578.

Contact Information

Fredric D Balguma, DO
4050 Barranca Pkwy, Suite 200,
Irvine, CA 92604-7706
(949) 551-1090
Not Available

Map and Direction




Physician's Profile

Full NameFredric D Balguma
GenderMale
SpecialityFamily Practice
Experience19 Years
Location4050 Barranca Pkwy, Irvine, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Fredric D Balguma graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1902069578
  • Provider Enumeration Date: 07/03/2008
  • Last Update Date: 12/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5597830174
  • Enrollment ID: I20091211000454

Medical Identifiers

Medical identifiers for Fredric D Balguma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902069578NPI-NPPES
0000277707OtherHIHMSA BILLING NUMBER
621179-02MedicaidHI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20A9975 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291757951

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Fredric D Balguma allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823
Entity NameMemorialcare Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205167350
PECOS PAC ID: 8729277314
Enrollment ID: O20110113000219

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fredric D Balguma is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fredric D Balguma, DO
17360 Brookhurst St, Attn: Mcmf - Credentialing Dept.,
Fountain Valley, CA 92708-3720

Ph: () -
Fredric D Balguma, DO
4050 Barranca Pkwy, Suite 200,
Irvine, CA 92604-7706

Ph: (949) 551-1090

Reviews and Comments


Family Medicine Doctors in Irvine, CA

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Phone: 949-551-1090    Fax: 949-262-5500
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Dr. John H Stasiewicz, MD
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Phone: 949-551-1090    Fax: 949-262-5500
Dr. Nazita Adili-khams, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 2500 Alton Parkway, Ste 101, Irvine, CA 92606
Phone: 949-222-2722    Fax: 949-222-9969

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.