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Search › California › 172V00000X

Shawn Ballard

NPI 1679380760 · on the registry since 2024

Practice

Address
3555 Auburn Blvd Ste 100
Sacramento, CA 95821
Phone
(916) 482-2370
Fax
(916) 480-6241
Organisation at this address
Panacea, Inc.
Children'S Receiving Home
Sacramento Children;S Receiving Home
Children'S Receiving Home Of Sacramento
Children'S Receiving Home Of Sacramento
Inferred from a shared address, not stated in the registry.
Clinicians at this address
76

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-12

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