MR. SAMUEL CYRIL BALLON (NPI# 1760408173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760408173 |
Entity Type | Individual |
Full Name | MR. SAMUEL CYRIL BALLON |
Credential | M.D. |
Practice Address |
815 Pollard Rd Attn: Cgops Los Gatos CA 95032-1438 |
Practice Telephone | 4083786545 |
Practice Fax Number | 4083786550 |
Mailing Telephone | 4083786545 |
Mailing Fax Number | 4083786550 |
Enumeration Date | 2006-07-15 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
G21751 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE PIN | 00G217514 | 01 |
CA | GR0101630 | 05 |
Street Address |
815 POLLARD RD ATTN: CGOPS |
City | LOS GATOS |
State | CA |
Zip Code | 95032-1438 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982607990 | Margaret V Cooper Vaughn | Specialist | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2005-05-23 |
1639706468 | Cep America - Neurology PC | Psychiatry & Neurology | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2020-03-23 |
1730643040 | Kimberly Christine Ryan | Physical Therapist | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2019-01-31 |
1396216933 | Brendan Cornelius Eggen | Speech-Language Pathologist | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2018-12-07 |
1417199340 | El Camino Hospital | General Acute Care Hospital | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2009-03-24 |
1528186350 | Kathryn Fraser | Clinical Neuropsychologist | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2007-03-27 |
1417014275 | Community Hospital of Los Gatos, Inc. | Rehabilitation Unit | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2007-01-02 |
1043376049 | Robert Gutshall Amburgey | Emergency Medicine | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2006-12-28 |
1780694653 | Center for Gynecologic Oncology and Pelvic Surgery | Obstetrics & Gynecology | 815 Pollard Rd, Attn: Cgops, Los Gatos, CA 95032-1438 | 2006-08-09 |
1538190319 | Surabhi Narayan | Internal Medicine | 815 Pollard Rd, Los Gatos, CA 95032-1438 | 2006-07-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346730157 | Stephanie Chui | Optometrist | 15055 Los Gatos Blvd Ste 300, Los Gatos, CA 95032 | 2018-05-16 |
1710474960 | Lisa Richardson | Dietitian, Registered | 15405 Los Gatos Blvd #101, Los Gatos, CA 95032 | 2018-04-13 |
1235652934 | Nillofar Tabibi | Pharmacist | 1496 Pollard Road, Los Gatos, CA 95032 | 2017-07-25 |
1609397694 | Taylor Dolores Peterson | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste 5, Los Gatos, CA 95032 | 2017-06-29 |
1942755418 | Michelle Sunalp | Physician Assistant | 14830 Los Gatos Blvd, Suite 300, Los Gatos, CA 95032 | 2016-08-24 |
1295196640 | Mandice Williams | Chiropractor | 236 Oak Meadow Dr, Los Gatos, CA 95032 | 2016-03-14 |
1922465020 | Los Gatos Dental Specialists | Dentist | 15075 Los Gatos Blvd, Ste 120, Los Gatos, CA 95032 | 2016-01-20 |
1962881813 | Los Gatos Snf, LLC | Skilled Nursing Facility | 16605 Lark Ave., Los Gatos, CA 95032 | 2015-05-26 |
1720404312 | Jonathan Davies | Physician Assistant | 15466 Los Gatos Blvd Ste 109-353, Los Gatos, CA 95032 | 2014-03-06 |
1588002612 | Jessica Velasco Gutierrez | Licensed Vocational Nurse | 634 W Parr Ave #116, Los Gatos, CA 95032 | 2013-06-11 |
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Taxonomy Code | 207VX0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecologic Oncology |
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225081441 | James Lilja | Obstetrics & Gynecology | 555 Knowles Drive, Suite 203, Los Gatos, CA 95032-1551 | 2006-05-18 |
1780694653 | Center for Gynecologic Oncology and Pelvic Surgery | Obstetrics & Gynecology | 815 Pollard Rd, Attn: Cgops, Los Gatos, CA 95032-1438 | 2006-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548727928 | Hhlp Medical Group Inc | Obstetrics & Gynecology | 500 N Garfield Ave Ste 104, Monterey Park, CA 91754-1242 | 2019-02-21 |
1003289919 | East Bay Gynecologic Oncology | Obstetrics & Gynecology | 105 Monte Vista Rd, Orinda, CA 94563-1619 | 2015-11-02 |
1760824833 | Cecil O Lynch | Obstetrics & Gynecology | 6500 Countrywoods Lane, Granite Bay, CA 95746 | 2013-07-18 |
1669713012 | Conley Gerard Lacey | Obstetrics & Gynecology | 1935 Stonebrook Ln, Clovis, CA 93611-5985 | 2013-03-11 |
1427342294 | Mae Zakhour | Obstetrics & Gynecology | 200 Ucla Medical Plz Ste 220, Los Angeles, CA 90095 | 2011-06-08 |
1447575568 | Kristen Marie Anderson | Obstetrics & Gynecology | 26520 Cactus Ave Ste B2020, Moreno Valley, CA 92555-3927 | 2010-03-31 |
1962639203 | Laurie Brunette | Obstetrics & Gynecology | 2020 Zonal Ave # Ird220, Los Angeles, CA 90089-0121 | 2009-06-13 |
1295977932 | Danielle D. Jandial | Obstetrics & Gynecology | 101 The City Dr., Bldg. 56, Room 260, Orange, CA 92683-1491 | 2009-03-26 |
1629235783 | Jeff Feng Hsu Lin | Obstetrics & Gynecology | 455 Oconnor Dr Ste 370, San Jose, CA 95128-1600 | 2008-05-16 |
1306038096 | Uma Chandavarkar | Obstetrics & Gynecology | 2800 L St Ste 300, Sacramento, CA 95816-5616 | 2007-08-15 |
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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.