Leslie Jeanne Ballard, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Red Bluff, CA
NPI 1922069335 · NPPES record last updated Mar 2, 2026
Key facts
- NPI
- 1922069335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 234527 (AK)
- Practice address
- 645 Antelope Blvd
Suite 24
Red Bluff, CA 96080-2465 - Phone
- (530) 528-7650
- Fax
- (530) 528-7655
- NPI assigned
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of New Mexico School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peach Tree Healthcare
Municipality of Skagway
Kima-W Medical Center
Practice addresses (Care Compare)
1114 Yuba St
Suite 220
Marysville, CA 95901-4838
120 5TH St
RM 1
Marysville, CA 95901-5734
Phone (530) 749-3242
350 14TH Ave
Skagway, AK 99840-0537
Phone (907) 983-2255
535 Airport Rd
Hoopa, CA 95546-9615
Phone (530) 625-4261
5600 Lindhurst Ave
Marysville, CA 95901-7109
Phone (530) 749-3242
5730 Packard Ave
Suite 500
Marysville, CA 95901-7119
Phone 53074932421124
PO Box
Skagway, AK 99840
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 17 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080529000779 | CA | Practitioner - Obstetrics/Gynecology | 5890693691 | Reassigns benefits to 2 organizations |
| I20250509001586 | AK | Practitioner - Obstetrics/Gynecology | 5890693691 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C52573 | CA | MD | Obstetrics & Gynecology Physician |
| 52573 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K'Ima:W Medical Center | Current |
Accepting new patients | |
| Municipality of Skagway | Current |
Accepting new patients | |
| K'Ima:W Medical Center | Current |
Accepting new patients | |
| Raleigh J Unterseher MD Inc | Past |
Accepting new patients |
Interoperability endpoints
- leslie.ballard.1@15635.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 234527 | AK | Yes |
| Obstetrics & Gynecology Physician | 207V00000X | C52573 | CA |
Addresses
Primary practice location
645 Antelope Blvd
Suite 24
Red Bluff, CA 96080-2465
Mailing address
50 Oak Dr
Chico, CA 95926-1807
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8275588 | Medicaid | WA |
Other providers in Red Bluff, CA
- Sharon Teresa Atkinson
- Aurora V Barriga OD, a Professional Corporation
- Sandra Lee Bagwell
- Ettie Bailey
- Sharon Lee Bailey
- Donald Raymond Baltazar
- Ntango Desire Banani
- Teri Renee Banks
- Bariatric Meal Prep LLC
- Keith James Barnett
All providers in Red Bluff, CA · Obstetrics & Gynecology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.