Jeffrey Lawrence Ballard, MD | |
1140 W La Veta Ave, Ste. 850, Orange, CA 92868-4225 | |
(714) 560-4450 | |
(714) 560-4455 |
Full Name | Jeffrey Lawrence Ballard |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 38 Years |
Location | 1140 W La Veta Ave, Orange, 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 |
---|---|---|---|
1205837200 | NPI | - | NPPES |
00G618360 | Medicaid | CA | |
050069CD43675 | Other | TRAILBLAZER | |
00G618360 | Other | BLUE SHIELD OF CA | |
00G618360 M46 | Other | CALOPTIMA | |
P00139413 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | G61836 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Hospital | Orange, CA | Hospital |
St Jude Medical Center | Fullerton, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beverly Radiology Medical Group Iii | 3476466376 | 246 |
Southern California Vascular Associates Inc | 5890739957 | 3 |
Entity Name | Beverly Radiology Medical Group Iii |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20031106000784 |
Entity Name | Beverly Radiology Medical Group Iii |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20040202001145 |
Entity Name | Southern California Vascular Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912937814 PECOS PAC ID: 5890739957 Enrollment ID: O20050620000437 |
Entity Name | Desert Advanced Imaging Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568416147 PECOS PAC ID: 6406749613 Enrollment ID: O20050622001415 |
Entity Name | Beverly Radiology Medical Group Iii |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20060221000914 |
Entity Name | San Fernando Valley Interventional Radiology And Imaging Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942350889 PECOS PAC ID: 3476651431 Enrollment ID: O20070614000478 |
Entity Name | Fresno Imaging Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659456499 PECOS PAC ID: 2466553128 Enrollment ID: O20070724000813 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Lawrence Ballard, MD Po Box 6898, Orange, CA 92863-6898 Ph: (714) 571-5000 | Jeffrey Lawrence Ballard, MD 1140 W La Veta Ave, Ste. 850, Orange, CA 92868-4225 Ph: (714) 560-4450 |
Xuan-binh D Pham, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1010 W La Veta Ave Ste 320, Orange, CA 92868 Phone: 714-598-1194 | |
Dr. Douglas Albert Brownell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1140 W La Veta Ave Ste 850, Orange, CA 92868 Phone: 714-997-4961 Fax: 714-560-4455 | |
Shray Malik, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3800 W Chapman Ave Ste 6200, Orange, CA 92868 Phone: 714-456-6262 | |
John Clifford German, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 396 S Main St Ste 200, Orange, CA 92868 Phone: 714-361-4480 Fax: 714-361-4490 | |
Michael J Stamos, MD Surgery Medicare: Medicare Enrolled Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-8978 | |
Reed Ayabe, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 808-392-4919 | |
Dr. Eric James Kuncir, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 333 City Blvd W, Suite 1600, Orange, CA 92868 Phone: 714-456-5890 Fax: 714-456-6048 |