Derick Alan Ball, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

E3329 Issued in CA

Practice address

13624 Hawthorne Blvd
Suite 206
Hawthorne, CA 90250-5818

Phone

(310) 675-0900

Fax

(310) 675-0904

NPI assigned

May 10, 2006

Last updated

Apr 8, 2008By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Far West Podiatric Medical GroupGroup PAC ID 5799168654, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Far West Podiatric Medical Group

  dba Far West Podiatry

  • Foot Surgery Podiatrist
  • Hawthorne, CA
  • NPI 1124175740
  Medicare reassignment Care Compare group NPD
• Karen Wrubel DPM

  • Durable Medical Equipment & Medical Supplies
  • Hawthorne, CA
  • NPI 1598442444

  Foot Surgery

  NPD
• Gardena Hospital LP

  dba Memorial Hospital of Gardena Pharmacy

  • Institutional Pharmacy
  • Gardena, CA
  • NPI 1669491700
  NPD (past)
• Providence Health System - Southern California

  • Psychiatric Hospital Unit
  • San Pedro, CA
  • NPI 1154349371
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1346299716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13624 HAWTHORNE BLVD",
            "address_2": "SUITE 206",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505818",
            "telephone_number": "310-675-0900",
            "fax_number": "310-675-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13624 HAWTHORNE BLVD",
            "address_2": "SUITE 206",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505818",
            "telephone_number": "310-675-0900",
            "fax_number": "310-675-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "DERICK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E3329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE001780",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E33290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley S Bailey, RN
• Brianna Bailey, MS, OTR/L
• Marie Bailey, RN
• Patrick Baird
• Nayer Baky, D.D.S.
• Michael Ballue, CADC II
• Bang Vu Pham M D Professional (St.Paul Medical Center of the S. Bay)
• Charlian Isata Bangalie
• Banj Health Center, Inc. (Woman and Family Health Clinic)
• Summer Geneva Barber, M.A.

• Foot Surgery Podiatrist in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Foot Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.