Samuel Cyril Ballon, M.D.

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

G21751 Issued in CA

Practice address

815 Pollard Rd
Attn: Cgops
Los Gatos, CA 95032-1438

Phone

(408) 378-6545

Fax

(408) 378-6550

NPI assigned

Jul 15, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1437103942
  Medicare reassignment NPD
• Center for Gynecologic Oncology and Pelvic Surgery

  • Gynecology Physician
  • Los Gatos, CA
  • NPI 1780694653

  Gynecologic Oncology

  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760408173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 POLLARD RD",
            "address_2": "ATTN: CGOPS",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321438",
            "telephone_number": "408-378-6545",
            "fax_number": "408-378-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 POLLARD RD",
            "address_2": "ATTN: CGOPS",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321438",
            "telephone_number": "408-378-6545",
            "fax_number": "408-378-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLON",
        "first_name": "SAMUEL",
        "middle_name": "CYRIL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "G21751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0101630",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "00G217514",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simrun Bal, DDS
• Rajeev Bala, M.D.
• Tanya Baldwin, N.D.
• Emily Balicanta, PT, DPT
• Amy Freilich Ball, M.D.
• Aiden G Balmilero
• Brittany Merrae Balogh, PH.D.
• Keith Garland Balon
• Shahrzad Bamasian, RPH
• Snezana Bandic, MA

• Gynecologic Oncology Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Gynecologic Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.