Jose Ballesteros (NPI# 1770527269, PAC ID# 5193735603) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1770527269 |
| PAC ID by PECOS | 5193735603 |
| Professional Enrollment ID | I20060427000805 |
| Full Name | Jose Ballesteros |
| Organization Legal Name | SANTA ROSA MEMORIAL HOSPITAL |
| Address |
925 Corporate Cntr Pkwy Suite A Santa Rosa CA 95407-5453 |
| Phone Number | 7075432000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1980 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 4284535378 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050174 | SANTA ROSA MEMORIAL HOSPITAL |
| 050291 | SUTTER SANTA ROSA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 925 Corporate Cntr Pkwy, Suite A, Santa Rosa, CA 95407-5453 | 7075432000 | SANTA ROSA MEMORIAL HOSPITAL |
| 990 Sonoma Ave, Suite 2, Santa Rosa, CA 95404-4813 | 7075278444 | SANTA ROSA CARDIOLOGY MEDICAL GROUP, INC. |
| Organization Legal Name | SANTA ROSA MEMORIAL HOSPITAL |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Hunter | Cardiovascular Disease (cardiology) | Santa Rosa Memorial Hospital | 1450 Medical Ctr Dr, Rohnert Park, CA 94928-2924 |
| Stephen Sheerin | Internal Medicine | Santa Rosa Memorial Hospital | 1450 Medical Ctr Dr, Rohnert Park, CA 94928-2924 |
| Street Address |
925 CORPORATE CNTR PKWY SUITE A |
| City | SANTA ROSA |
| State | CA |
| Zip | 95407-5453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Winthrop B Hedrick | Family Practice | St Joseph Heritage Healthcare | 925 Corporate Cntr Pkwy, Suite A, Santa Rosa, CA 95407-5453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Salvador F Calaf | Nephrology | Nephrology Associates | 2301 Circadian Wy, Suite A, Santa Rosa, CA 95407 |
| Benjamin Fritz | Nephrology | Nephrology Associates | 2301 Circadian Wy, Suite A, Santa Rosa, CA 95407 |
| Sandra Barrow | Nephrology | Nephrology Associates | 2301 Circadian Wy, Suite A, Santa Rosa, CA 95407 |
| Gopa Green | Nephrology | Nephrology Associates | 2301 Circadian Wy, Suite A, Santa Rosa, CA 95407 |
| Eric L Cheung | Nephrology | Nephrology Associates | 2301 Circadian Wy, Suite A, Santa Rosa, CA 95407 |
| Kathleen M Dutton | Nurse Practitioner | Nephrology Associates | 2301 Circadian Wy, Suite A, Santa Rosa, CA 95407 |
| James Robertson | Nephrology | Nephrology Associates | 2301 Circadian Wy, Suite A, Santa Rosa, CA 95407 |
| Judith Boccanfuso | Registered Dietitian Or Nutrition Professional | Nephrology Associates | 2301 Circadian Wy, Suite A, Santa Rosa, CA 95407 |
| Margaret A Gilford | Family Medicine | Permanente Medical Group Inc | 2240 Mercury Way, Santa Rosa, CA 95407-5413 |
| Michael J Haiman | Dermatology | Permanente Medical Group Inc | 2240 Mercury Way, Santa Rosa, CA 95407-5413 |
| Find all physicians in zip 95407 | |||
| City | SANTA ROSA |
| Zip Code | 95407 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | SANTA ROSA + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Jose Ballesteros.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.