Charles Hunt Ballard, DO | |
12742 Limonite Ave, Eastvale, CA 92880-9630 | |
(951) 739-2712 | |
Not Available |
Full Name | Charles Hunt Ballard |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 34 Years |
Location | 12742 Limonite Ave, Eastvale, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043357262 | NPI | - | NPPES |
ZZZ31887Z | Other | CA | SITE ZZZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DOS735 (Hawaii) | Secondary |
207Q00000X | Family Medicine | 20A10039 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverside Medical Clinic Inc | 2961492327 | 146 |
Entity Name | Riverside Medical Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720183403 PECOS PAC ID: 2961492327 Enrollment ID: O20040517000880 |
Mailing Address | Practice Location Address |
---|---|
Charles Hunt Ballard, DO 12742 Limonite Ave, Eastvale, CA 92880-9630 Ph: (951) 739-2712 | Charles Hunt Ballard, DO 12742 Limonite Ave, Eastvale, CA 92880-9630 Ph: (951) 739-2712 |
Sushma Sangita Sadula, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12442 Limonite Ave Unit 205, Eastvale, CA 91752 Phone: 909-429-2864 | |
Jodi L. Garcia, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16756 Chino Corona Rd, Eastvale, CA 92880 Phone: 909-597-1771 | |
Peter Dung-quoc Doan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12442 Limonite Ave Unit 205, Eastvale, CA 91752 Phone: 909-429-2864 Fax: 909-429-2868 |