NPIMap

Individual provider Active NPI

Benjamin Zachary Ball, MD

  • Neurological Surgery Physician
  • Pomona, CA
National Provider Identifier
1194183087
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A147883 Issued in CA
Practice address
255 E Bonita Ave BLDG 9
Pomona, CA 91767-1923
Phone
(099) 450-0369
Fax
(909) 450-0366
NPI assigned
Feb 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A147883 CA Primary

Addresses

Primary practice location

255 E Bonita Ave BLDG 9
Pomona, CA 91767-1923

Mailing address

255 E Bonita Ave BLDG 9
Pomona, CA 91767-1923
Phone (909) 450-0369

Other practice location 1

6216 Brockton Ave Ste 213
Riverside, CA 92506-2223
Phone (909) 450-0369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220810001605 CA Practitioner - Neurosurgery 7416229786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Virginia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

255 E Bonita Ave
BLDG 9
Pomona, CA 91767-1923
Phone 9094500369213

Hospital & facility affiliations

  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • Casa Colina Hospital Hospital, Pomona, CA, CCN 050782
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099
  • Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion39
Laminectomy or laminotomy (partial removal of spine bones)11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A147883CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott C Lederhaus MD & Lew B Disney MD PRT Lederhaus Scott C Gen PTR Neurological Surgery CurrentSince Aug 1, 2022 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Scott C Lederhaus MD & Lew B Disney MD PRT Lederhaus Scott C Gen PTR Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
University of California, Irvine Medical Center Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients

Locations

1211 W 6th St
Ontario, CA 91762
Phone (909) 933-6580

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

255 E Bonita Ave
Bldg 9
Pomona, CA 91767
Phone (909) 450-0369

255 E Bonita Ave
Ste 9
Pomona, CA 91767

225 E Bonita Ave
Bldg 9
Pomona, CA 91767

6216 Brockton Ave
Ste 213
Riverside, CA 92506
Phone (909) 450-0369

6216 Brockton Ave
Riverside, CA 92506

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 11

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1194183087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVE BLDG 9",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671923",
            "telephone_number": "909-450-0369",
            "fax_number": "909-450-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVE BLDG 9",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671923",
            "telephone_number": "099-450-0369",
            "fax_number": "909-450-0366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6216 Brockton Ave Ste 213",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062223",
            "country_code": "US",
            "telephone_number": "909-450-0369",
            "fax_number": "909-450-0366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "BENJAMIN",
        "middle_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-05",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A147883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.