Julie Anna Ballard, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA58869 Issued in CA

Practice address

11150 Highway 1
Point Reyes Station, CA 94956-9756

Phone

(415) 663-1082

Fax

(415) 663-9474

NPI assigned

Jan 24, 2020

Last updated

Nov 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• City Health, a Medical Corporation

  dba City Health Urgent Care

  • Multi-Specialty Clinic/Center
  • San Leandro, CA
  • NPI 1477940187
  NPD (past)
• UCSF Health Community Hospitals

  dba UCSF Health Hyde Hospital

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1316061997
  NPD (past)

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1689204018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 TEMPLE DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875147",
            "telephone_number": "209-663-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 HIGHWAY 1",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "949569756",
            "telephone_number": "415-663-1082",
            "fax_number": "415-663-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "JULIE",
        "middle_name": "ANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA58869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira Gentle Barron, DMD
• Zsuzsanna Biran, R.PH.
• Ramiro Campos
• Carolyn Ruth Chase, RN, NP
• Ellen M. Christiansen, MSN, FNP

• Physician Assistant in Point Reyes Station, CA
• Providers in Point Reyes Station, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.