Taylor Robert Ballard, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

66613 Issued in CA

Practice address

415 Knollcrest Dr Ste 101
Redding, CA 96002-0181

Phone

(530) 392-4399

NPI assigned

Apr 17, 2025

Last updated

Jul 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rolling Hills Clinic

  • Federally Qualified Health Center (FQHC)
  • Red Bluff, CA
  • NPI 1679988950

  TX

  Medicare reassignment NPD
• Community Medical Specialists Inc

  dba Aloha Medical

  • Psychiatry Physician
  • Redding, CA
  • NPI 1659084101
  NPD
• Rolling Hills Clinic

  • Federally Qualified Health Center (FQHC)
  • Corning, CA
  • NPI 1992012306
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1134915903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 KNOLLCREST DR STE 101",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020181",
            "telephone_number": "530-392-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 KNOLLCREST DR STE 101",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020181",
            "telephone_number": "530-392-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "TAYLOR",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "66613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Loren Ball, M DIV MS MFT
• Jenna Alaine Ball, M.A., BCBA
• Ballard Medical Corporation
• Kevin Ballard
• Morris Robert Ballard, M.D.
• Polly Bambauer, PPS
• Prathibha Banda
• Vanessa Louise Banda, LCSW
• Deepika Reddy Bandi, M.D
• Tanya Renee Banks

• Physician Assistant in Redding, CA
• Providers in Redding, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.