Active NPI
Darryl J Ballin, M.D.,INC
- Internal Medicine Physician
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 00A51935
- Practice address
- 5525 Etiwanda Ave
Suite 224
Tarzana, CA 91356-3647 - Phone
- (818) 708-4848
- Fax
- (818) 436-4680
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 00A51935 | CA | Primary |
Addresses
Primary practice location
5525 Etiwanda Ave
Suite 224
Tarzana, CA 91356-3647
Mailing address
5525 Etiwanda Ave
Suite 224
Tarzana, CA 91356-3647
Phone (818) 708-4848
Other names 1
- Darryl J Ballin
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
18133 Ventura Blvd
Suite 300
Tarzana, CA 91356-3645
Phone (818) 994-0101
5525 Etiwanda Ave
Suite 320
Tarzana, CA 91356-6130
Phone (818) 774-3839
8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674
Hospital & facility affiliations
- Number 1 Home Health Care, Inc
- Cedars-Sinai Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00A51935 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Tarzana Medical Center LLC | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Locations
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
5525 Etiwanda Ave
Ste 224
Tarzana, CA 91356
Phone (818) 344-4803
5525 Etiwanda Ave
Ste 320
Tarzana, CA 91356
Phone (818) 774-3838
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
Interoperability endpoints
- dballin209467@direct.cshs.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- Home Health Agency
- Chatsworth, CA
- NPI 1922517895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1922174192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 ETIWANDA AVE",
"address_2": "SUITE 224",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563647",
"telephone_number": "818-708-4848",
"fax_number": "818-436-4680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 ETIWANDA AVE",
"address_2": "SUITE 224",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563647",
"telephone_number": "818-708-4848",
"fax_number": "818-436-4680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLIN",
"first_name": "DARRYL",
"middle_name": "J",
"credential": "M.D.,INC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "00A51935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DARRYL",
"last_name": "BALLIN",
"middle_name": "J",
"credential": "M.D., INC.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.