NPI 1871767384 · live from the CMS NPI Registry
Jerasimos Ballas, M.D.
Obstetrics & Gynecology, Maternal & Fetal Medicine in San Diego, CA. National Provider Identifier 1871767384, active.
NPI record
| NPI | 1871767384 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Maternal & Fetal Medicine 207VM0101X |
| Practice location | 200 W Arbor Dr, San Diego, CA 92103 |
| Practice phone | 858-249-1205 |
| Mailing address | Po Box 232410, San Diego, CA 92193 |
| Enumerated | April 15, 2008 |
| Last updated | October 1, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Maternal & Fetal Medicine primary | 207VM0101X | A112607 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.