Rafael Balbona Chavez, M.D.
Emergency Medicine Physician · Los Angeles, CA
Rafael Balbona Chavez, M.D. is an emergency medicine physician with a practice address in Los Angeles, California, and NPI 1194120055, issued on Nov 4, 2014. Check the license (California 133083, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Rafael Balbona Chavez
- Credential
- M.D.
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- License number
- 133083 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1200 N State St, Los Angeles, CA 90033
- Phone
- (323) 226-2828
- Enumerated
- Nov 4, 2014
- Record last updated
- Nov 4, 2014 (not updated in 12 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest emergency medicine physician records → All 7,751 in California → Look up another NPI →
Also registered at 1200 N State St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Rafael Balbona Chavez in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license 133083Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
22% more Medicare Part D claims than the average emergency medicine physician in 2024
275 Medicare Part D claims for 178 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D. Brand-name drugs were 6% of claims. 40 claims were for opioids.
Most prescribed
- Cephalexin36 claims
- Ondansetron Odt18 claims
- Hydrocodone-Acetaminophen17 claims
- Methylprednisolone16 claims
- Tramadol Hcl16 claims
- Prednisone14 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 91.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Rafael Balbona Chavez among 7,751 emergency medicine physician records in California
Rafael Balbona Chavez, M.D. is one of 7,751 emergency medicine physician records with a practice address in California. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 69% of them.
- NPI issued2014 · 69% of these records are older, 28% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileNo · 59% of these records are
- Record last updated2014 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Emergency Medicine Physician providers in California
There are 7,751 emergency medicine physician records in California.
All 7,751 in California → Every provider in Los Angeles → Emergency Medicine Physician nationwide →
The 8 emergency medicine physician records with the nearest ZIP codes
- Deirdre Anglin, MDLos Angeles, CA 900331306932025
- Joseph BaltrushesLos Angeles, CA 900331629152178
- Aaron Bright, M.D.Los Angeles, CA 900331023054087
- Christopher Celentano, MDLos Angeles, CA 900331972516417
- Christine DinuzzoLos Angeles, CA 900331952456741
- Marc Eckstein, M.D.Los Angeles, CA 900331922010867
- Sean Henderson, M.D.Los Angeles, CA 900331205887064
- Helen Ho, MDLos Angeles, CA 900331447208962
Common questions
What is Rafael Balbona Chavez, M.D.'s NPI number?
Rafael Balbona Chavez, M.D.'s National Provider Identifier (NPI) is 1194120055, issued on Nov 4, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Rafael Balbona Chavez, M.D. located?
The NPPES record lists a practice address at 1200 N State St, Los Angeles, CA, 90033. Phone: (323) 226-2828. Providers update this record themselves, so call before visiting.
How can I verify Rafael Balbona Chavez, M.D.'s license?
NPPES lists California license number 133083, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Rafael Balbona Chavez, M.D. prescribe under Medicare Part D?
In 2024, Rafael Balbona Chavez, M.D. had 275 Medicare Part D claims for 178 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.
What is Rafael Balbona Chavez, M.D.'s MIPS final score?
The 2023 MIPS final score is 91.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.