Organization Active NPI

Leslie Jeanne Ballard MD Inc

  • Specialist
  • Chico, CA
National Provider Identifier
1598934754
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C52573 Issued in CA
Legal business name
LESLIE JEANNE BALLARD MD INC
Practice address
1315 Esplanade
Chico, CA 95926-3330
Phone
(530) 332-9288
Fax
(530) 332-9261
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Michelle Owen
Title
Office Manager
Phone
(530) 332-9288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X C52573 CA Primary

Addresses

Primary practice location

1315 Esplanade
Chico, CA 95926-3330

Mailing address

1315 Esplanade
Chico, CA 95926-3330
Phone (530) 332-9288

Other identifiers 1

IdentifierTypeStateIssuer
1598934754MedicaidCA

National Provider Directory

National Provider Directory

Locations

1315 The Esplanade
Chico, CA 95926
Phone (530) 332-9288

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1598934754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263330",
            "telephone_number": "530-332-9288",
            "fax_number": "530-332-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263330",
            "telephone_number": "530-332-9288",
            "fax_number": "530-332-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE JEANNE BALLARD MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-332-9288"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C52573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598934754",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.