CHARLES HUNT BALLARD (NPI# 1043357262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043357262 |
| Entity Type | Individual |
| Full Name | CHARLES HUNT BALLARD |
| Credential | D.O. |
| Practice Address |
12742 Limonite Ave Eastvale CA 92880-9630 |
| Practice Telephone | 9517392712 |
| Mailing Telephone | 9517392712 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A10039 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | DOS735 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SITE ZZZ | ZZZ31887Z | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 818 Magnolia Ave, Corona, CA 928793106 | 9514936852 | 9512721435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309861 | Charles W Ballard II | Peer Specialist | 8500 Nw 112th Ter, Oklahoma City, OK 73162-2131 | 2019-01-07 |
| 1942466172 | Charles Christopher Ballard | Physical Therapy Assistant | 702 Highway 82 W Ste B, Greenwood, MS 38930-5069 | 2008-08-07 |
| 1538176359 | Charles Chris Ballard | Anesthesiology | 2506 Autumn Garden Ct, Kingwood, TX 77345-2233 | 2006-08-02 |
| 1073668711 | Charles Ballard | Obstetrics & Gynecology | 1200 N State St, Los Angeles, CA 90033-1029 | 2007-01-24 |
| 1447321104 | Charles Ballard | Emergency Medicine | 255 N 30th St, Laramie, WY 82072-5140 | 2006-11-13 |
| Street Address |
12742 LIMONITE AVE |
| City | EASTVALE |
| State | CA |
| Zip Code | 92880-9630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225010135 | Chau M T Nguyen-thio | Internal Medicine | 12742 Limonite Ave, Eastvale, CA 92880-9630 | 2005-11-16 |
| 1093213787 | Anglae B Ojeda | Nurse Practitioner | 12742 Limonite Ave, Eastvale, CA 92880-9630 | 2018-01-27 |
| 1285042929 | Anthony Nguyen | Pediatrics | 12742 Limonite Ave, Eastvale, CA 92880-9630 | 2014-07-25 |
| 1720293277 | Glenmore Hendricks | Nurse Practitioner | 12742 Limonite Ave, Eastvale, CA 92880-9630 | 2007-05-10 |
| 1649228925 | Shina Patel | Physician Assistant | 12742 Limonite Ave, Eastvale, CA 92880-9630 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084945 | Eastvale Family Care Inc. | Family Medicine | 14252 Schleisman Rd., Eastvale, CA 92880 | 2020-05-08 |
| 1982226460 | Eastvale Urgent Care Inc | Clinic/Center | 14252 Schleisman Rd, Eastvale, CA 92880 | 2020-05-07 |
| 1578199741 | Corrections and Rehabilitation | Pharmacy | 16756 Chino Corona Road, Corona, CA 92880 | 2020-03-19 |
| 1184274029 | Rocquel Mack | Licensed Vocational Nurse | 2131 Shelley Circle, Corona, CA 92880 | 2019-09-12 |
| 1255993176 | Symbiosis, Inc. | Clinic/Center | 3115 Palisades Drive, Corona, CA 92880 | 2019-07-01 |
| 1770065559 | Kumkum Mehta | Nurse Practitioner | 7391 Sungold Ave, Corona, CA 92880 | 2018-08-29 |
| 1629559802 | Skt Therapy Inc | Marriage & Family Therapist | 765 N Main St Ste 152, Corona, CA 92880 | 2018-08-24 |
| 1356854145 | Hk Durgs Inc | Pharmacy | 13394 Limonite Ave, Ste 120, Eastvale, CA 92880 | 2017-11-15 |
| 1134638653 | National Vision, Inc. | Technician/Technologist | 482 Main Street, Corona, CA 92880 | 2017-09-27 |
| 1922527464 | Crown Care Transportation | Non-emergency Medical Transport (VAN) | 13557 Nectarine Ave, Corona, CA 92880 | 2017-09-15 |
| Find all providers in zip 92880 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084945 | Eastvale Family Care Inc. | Family Medicine | 14252 Schleisman Rd., Eastvale, CA 92880 | 2020-05-08 |
| 1942686142 | David Picella Phd Inc | Family Medicine | 7121 Mackinaw Ct, Eastvale, CA 91752-1492 | 2015-08-11 |
| 1154632636 | Muhammad Umer | Family Medicine | 14252 Scleisman Rd, Eastvale, CA 92880 | 2010-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407711 | Prohealth Partners A Medical Group | Family Medicine | 3700 Katella Ave Ste D, Los Alamitos, CA 90720-6410 | 2020-11-06 |
| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1417558842 | San Judas Tadeo Medical Group, Inc. | Family Medicine | 1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869 | 2020-11-03 |
| 1174123038 | Socal Medical Center., Inc. | Family Medicine | 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 | 2020-10-29 |
| 1205435864 | Montana Affinity LLC | Family Medicine | 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 | 2020-10-23 |
| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.