Shana L Ballow DO Inc

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

20A10299 Issued in CA

Legal business name

SHANA L BALLOW DO INC

Practice address

1044 S Fair Oaks Ave
Suite 101
Pasadena, CA 91105-2622

Phone

(626) 768-4415

Fax

(626) 403-0321

NPI assigned

Aug 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Shana Lynn Ballow, DO

Title

President

Phone

(818) 640-3552

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1538417381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BVLD",
            "address_2": "SUITE 400",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034751",
            "telephone_number": "626-768-4415",
            "fax_number": "626-403-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 S FAIR OAKS AVE",
            "address_2": "SUITE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052622",
            "telephone_number": "626-768-4415",
            "fax_number": "626-403-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANA L BALLOW DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "BALLOW",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-640-3552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "20A10299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianna Shakhnovits, M.D.
• Adeeb Shalabi, DDS
• Mohammad Ali Shamie, M.D.
• Sharjil Shamim, MD
• Ayda Shamsian
• Donna Shanahan, LMFT
• Shankar Lakshman MD Medical Inc
• Andrea Lynn Shankar
• Elizabeth D Shapard, RN MSN PMHNP-BC
• George Herschel Shapiro, DC

• Trauma Surgery Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Trauma Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.