Search › California › 101YA0400X
Phillip Ballasch
NPI 1417470154 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1581 Cummins Dr Ste 147
Modesto, CA 95358 - Phone
- (209) 602-0572
- Organisation at this address
- Modesto City Schools
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California