Jashan Ballagan
Individual provider Active NPI Peer Specialist · Livermore, CA
NPI 1124893409 · NPPES record last updated Nov 16, 2023
Key facts
- NPI
- 1124893409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 3311 Pacific Ave
Livermore, CA 94550-7007 - Phone
- (925) 462-1755
- NPI assigned
- Nov 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
3311 Pacific Ave
Livermore, CA 94550-7007
Mailing address
2801 Rabbit Hollow Dr
Lathrop, CA 95330-9841
Phone (209) 637-6046
Other providers in Livermore, CA
- Sharon D Bagnall
- Vikas Bajaj
- Balanced Associates a Berglund Chiropractic Professional Corporation
- Balanced Livermore a Berglund Chiropractic Corporation
- Ekta Balani
- Karina Ballesteros
- Pamela Ballin
- Balwinder Singh DDS Inc
- Lisa Michelle Banke
- Guadalupe Guillermina Barattino
All providers in Livermore, CA · Peer Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.