Jody Lynn Balloch, MD
Individual provider Active NPI Family Medicine Physician · Camarillo, CA
NPI 1316929615 · NPPES record last updated Oct 1, 2014
Key facts
- NPI
- 1316929615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G77362 (CA)
- Practice address
- 5051 Verdugo Way
Suite 110
Camarillo, CA 93012 - Phone
- (805) 384-8071
- Fax
- (805) 987-1927
- NPI assigned
- Nov 14, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Jefferson Medical College of Thomas Jefferson University, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dignity Health Medical Foundation
Practice addresses (Care Compare)
1700 N Rose Ave
Suite 350
Oxnard, CA 93030-7627
Phone (805) 485-7877
Hospital & facility affiliations
- Mission Home Health of Ventura, LLC
- Livingston Memorial Visiting Nurse Association
- Hearten Home Health Inc
- Access TLC Home Health Care
- St Johns Regional Medical Center
- Alta Healthcare Center of Camarillo
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060831000489 | CA | Practitioner - Family Practice | 6901800069 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G77362 | CA | MD | Family Medicine Physician |
| GO77362 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current |
Accepting new patients | |
| Dignity Health Medical Foundation | Current |
Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
5051 Verdugo Way
Ste 110
Camarillo, CA 93012
Phone (805) 445-7010
5051 Verdugo Way
Ste 100
Camarillo, CA 93012
1700 N Rose Ave
Ste 350
Oxnard, CA 93030
Phone (805) 485-7877
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | GO77362 | CA | |
| Family Medicine Physician | 207Q00000X | G77362 | CA | Yes |
Addresses
Primary practice location
5051 Verdugo Way
Suite 110
Camarillo, CA 93012
Mailing address
3400 Data Drive
Rancho Cordova, CA 95670
Phone (916) 379-2915
Other providers in Camarillo, CA
- Erin Leigh Baldwin
- Jill Margaret Ball
- Thomas Harold Ball
- Jeffrey Ballard
- Kimberley Ballard
- Genesis Alexa Banda-Donato
- Derrick Deshawn Banks
- Karina Banuelos
- Abdulfatah Adnan Barakat
- Sabrina Carvalho Barata
All providers in Camarillo, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.