Mr Samuel Cyril Ballon, MD | |
815 Pollard Rd, Attn: Cgops, Los Gatos, CA 95032-1438 | |
(408) 378-6545 | |
(408) 378-6550 |
Full Name | Mr Samuel Cyril Ballon |
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Gender | Male |
Speciality | Obstetrics & Gynecology - Gynecologic Oncology |
Location | 815 Pollard Rd, Los Gatos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760408173 | NPI | - | NPPES |
00G217514 | Other | CA | MEDICARE PIN |
GR0101630 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | G21751 (California) | Primary |
Entity Name | Emergency And Acute Care Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
Mailing Address | Practice Location Address |
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Mr Samuel Cyril Ballon, MD 815 Pollard Rd, Attn: Cgops, Los Gatos, CA 95032-1438 Ph: (408) 378-6545 | Mr Samuel Cyril Ballon, MD 815 Pollard Rd, Attn: Cgops, Los Gatos, CA 95032-1438 Ph: (408) 378-6545 |
Dr. Andrew Cook, M.D., FACOG Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 14830 Los Gatos Blvd, Suite 300, Los Gatos, CA 95032 Phone: 408-358-2511 Fax: 408-358-1009 | |
Linda Honey Joshua, NP,RN Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 15047 Los Gatos Blvd, 200, Los Gatos, CA 95032 Phone: 408-364-6799 | |
Dr. Mark Alan Fierro, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 15251 National Ave, Suite 106, Los Gatos, CA 95032 Phone: 408-356-5111 Fax: 408-356-0654 | |
Dr. Rosanne Mayhew, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 800 Pollard Rd Ste B203, Los Gatos, CA 95032 Phone: 408-871-1885 Fax: 408-871-8405 | |
Peter A. Castillo, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 15215 National Ave Ste 104, Los Gatos, CA 95032 Phone: 925-905-9922 Fax: 925-905-9925 | |
Dr. Karen E Kunzel, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 15151 National Ave, Los Gatos, CA 95032 Phone: 408-356-0431 | |
Dr. Mary L Imig, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 15151 National Ave, Los Gatos, CA 95032 Phone: 408-356-0431 Fax: 408-358-1602 |