Organization Active NPI

Ballard Ca, PC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Costa Mesa, CA
National Provider Identifier
1245149020
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2026

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)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.