Active NPI
Ballard Ca, PC
- Addiction Medicine (Psychiatry & Neurology) Physician
- Costa Mesa, CA
National Provider Identifier
1245149020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- Legal business name
- BALLARD CA, PC
- Practice address
- 1962 Fullerton Ave
Costa Mesa, CA 92627-2232 - Phone
- (833) 216-0521
- NPI assigned
- Sep 5, 2026
- Last updated
- Sep 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Arce
- Title
- Coo
- Phone
- (310) 857-0115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | Primary |
Addresses
Primary practice location
1962 Fullerton Ave
Costa Mesa, CA 92627-2232
Mailing address
3267 Bee Caves Rd Ste 107-225
Austin, TX 78746-6700
Phone (833) 216-0521
National Provider Directory
National Provider DirectoryLocations
3267 Bee Caves Rd
Ste 107225
Austin, TX 78746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788566400000",
"number": "1245149020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3267 BEE CAVES RD STE 107-225",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466700",
"telephone_number": "833-216-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1962 FULLERTON AVE",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926272232",
"telephone_number": "833-216-0521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALLARD CA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-05",
"last_updated": "2026-09-05",
"certification_date": "2026-09-05",
"status": "A",
"authorized_official_last_name": "ARCE",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "310-857-0115"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.