NPIMap

Organization Active NPI

Ronaldo a Ballecer MD Inc

  • Otolaryngology/Facial Plastic Surgery Physician
  • Fresno, CA
National Provider Identifier
1780669838
Registry record updated Jan 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
A34864 Issued in CA
Legal business name
RONALDO A BALLECER MD INC
Practice address
540 E Herndon Ave
Suite 105
Fresno, CA 93720-2907
Phone
(559) 432-5154
Fax
(559) 432-8763
NPI assigned
Dec 13, 2005
Last updated
Jan 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2015

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

Authorized official

Name
Mr. Ronaldo A Ballecer, MDNPI 1194941641
Title
Owner
Phone
(559) 432-5154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A34864 CA
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X A34864 CA
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X A34864 CA Primary

Addresses

Primary practice location

540 E Herndon Ave
Suite 105
Fresno, CA 93720-2907

Mailing address

540 E Herndon Ave
Suite 105
Fresno, CA 93720-2907
Phone (559) 432-5154

Other identifiers 1

IdentifierTypeStateIssuer
00A348641MedicaidCA

National Provider Directory

National Provider Directory

Locations

540 E Herndon Ave
Ste 105
Fresno, CA 93720
Phone (559) 432-5154

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421452800000",
    "number": "1780669838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E HERNDON AVE",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202907",
            "telephone_number": "559-432-5154",
            "fax_number": "559-432-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E HERNDON AVE",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202907",
            "telephone_number": "559-432-5154",
            "fax_number": "559-432-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALDO A BALLECER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2015-01-17",
        "status": "A",
        "authorized_official_last_name": "BALLECER",
        "authorized_official_first_name": "RONALDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-432-5154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A34864",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "A34864",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "A34864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A348641",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2015; 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.