DR. JOHN R BALLENGER (NPI# 1598789711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598789711 |
| Entity Type | Individual |
| Full Name | DR. JOHN R BALLENGER |
| Credential | M.D. |
| Practice Address |
777 Campus Commons Rd Suite 120 Sacramento CA 95825-8309 |
| Practice Telephone | 9169298564 |
| Practice Fax Number | 9169294529 |
| Mailing Telephone | 9169298564 |
| Mailing Fax Number | 9169294529 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2012-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G43354 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 110060884 | 01 | |
| CA | GR0015060 | 05 |
| Street Address |
777 CAMPUS COMMONS RD SUITE 120 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-8309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780635920 | Johan Winoto | Internal Medicine | 777 Campus Commons Rd, Suite 120, Sacramento, CA 95825-8309 | 2006-05-12 |
| 1144606062 | Safe Rides Medtrans | Non-emergency Medical Transport (VAN) | 777 Campus Commons Rd, Suite 200 #58, Sacramento, CA 95825-8309 | 2015-08-03 |
| 1629319405 | Rio City Counseling | Marriage & Family Therapist | 777 Campus Commons Rd, Suite 200, Sacramento, CA 95825-8309 | 2013-03-04 |
| 1629312368 | Robert E Record | Psychologist | 777 Campus Commons Rd, Suite 200, Sacramento, CA 95825-8309 | 2012-11-19 |
| 1629359674 | Avalon Home Health Inc | Home Health | 777 Campus Commons Rd, Suite 200, Sacramento, CA 95825-8309 | 2011-09-05 |
| 1962797274 | Nikki Renee Love | Nurse Practitioner | 777 Campus Commons Rd, Sacramento, CA 95825-8309 | 2011-06-14 |
| 1295038412 | Torri Miller Jones | Psychologist | 777 Campus Commons Rd, Suite 200, Sacramento, CA 95825-8309 | 2010-12-09 |
| 1447552518 | Julie Karp | Marriage & Family Therapist | 777 Campus Commons Rd, Suite 200, Sacramento, CA 95825-8309 | 2010-11-23 |
| 1649400839 | Ganesh Kambhampati | Specialist | 777 Campus Commons Rd, Sacramento, CA 95825-8309 | 2009-07-22 |
| 1619141710 | Vladimir Bulanin | Nurse Practitioner | 777 Campus Commons Rd, Suite 120, Sacramento, CA 95825-8309 | 2008-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558918128 | Claudeen Tracy Brown | Specialist | 7826 Alta Valley Dr, Sacramento, CA 95823-4604 | 2019-08-19 |
| 1154889525 | Kelley Nicole Ashe | Specialist | 1510 16th St Ste 120, Sacramento, CA 95814-6015 | 2019-03-05 |
| 1891266656 | Debra Marie Engelbrite | Specialist | 4100 Lusk Dr, Sacramento, CA 95864-0748 | 2018-12-05 |
| 1932633070 | Paquette Spine Institute, Corp. | Specialist | 3800 J St Ste 210, Sacramento, CA 95816-5551 | 2017-04-15 |
| 1154792216 | Anthony Demario | Specialist | 4860 Y Street Site 1100, Sacramento, CA 95817 | 2015-10-15 |
| 1316338460 | Patricia Rao | Specialist | 5901 Stallon Way, Sacramento, CA 95823-3820 | 2015-02-11 |
| 1598162810 | Debra Garcia | Specialist | 1124 Rio Cidade Way, Sacramento, CA 95831-4487 | 2014-12-02 |
| 1801198809 | Lee Adam Worth | Specialist | 1500 Capitol Ave, Sacramento, CA 95814-5006 | 2010-11-23 |
| 1962724575 | Shannon Richard Reed | Specialist | 719 56th St, Sacramento, CA 95819-3306 | 2010-02-23 |
| 1730413774 | Bob Ghelfi Md PC | Specialist | 2295 Gateway Oaks Dr, Suite 105, Sacramento, CA 95833-3225 | 2009-09-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
Please comment or provide details below to improve the information on DR. JOHN R BALLENGER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.