Individual provider Active NPI

Brian M Ballard

  • Occupational Medicine Physician
  • Pomona, CA
National Provider Identifier
1497218739
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
20A19811 Issued in CA
Practice address
160 E Artesia St Ste 255
Pomona, CA 91767-2921
Phone
(095) 964-3469
NPI assigned
Apr 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 20A19811 CA Primary

Addresses

Primary practice location

160 E Artesia St Ste 255
Pomona, CA 91767-2921

Mailing address

27100 Chardon Rd
Richmond Heights, OH 44143-1116

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220801002131 CA Practitioner - Preventive Medicine 6002141108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Kansas City College of Medicine and Surgery, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Orthopaedic Trauma Specialists PMCGroup PAC ID 4082992623, 36 clinicians

Practice addresses (Care Compare)

600 N Euclid Ave
Suite 202
Upland, CA 91786-4779
Phone (909) 596-4346

Hospital & facility affiliations

  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

Merit-based Incentive Payment System (MIPS)

Final score
89.24 of 100Reported as group
Quality
62.82
Improvement activities
40
Cost
83.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19811CAMDGeneral Practice Dentistry
20A19811CAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic Trauma Specialists, PMC Orthopaedic Surgery CurrentSince Aug 1, 2022 Accepting new patients
Sports Medicine and Orthopaedic Institute Orthopaedic Surgery CurrentSince Aug 1, 2022 Accepting new patients

Locations

2140 Grand Ave
Ste 120
Chino Hills, CA 91709
Phone (909) 392-2002

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

160 E Artesia St
Ste 255
Pomona, CA 91767
Phone (909) 620-0900

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

600 N Euclid Ave
Ste 202
Upland, CA 91786
Phone (840) 237-3344

400 N Mountain Ave
Ste 100
Upland, CA 91786

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: brian.ballard.1@20474.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1497218739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27100 CHARDON RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST STE 255",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672921",
            "telephone_number": "095-964-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "BRIAN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "20A19811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.