SAMUEL C BALLON MD FACOG FACS FRCSC A PROF CORPORATION
NPI 1205012127
Specialist in San Jose, CA

Q: What is Samuel C Ballon MD Facog Facs Frcsc A Prof Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since January 10, 2008

2504 SAMARITAN DR STE 20, SAN JOSE, CA 95124(408) 356-3725(408) 376-3713 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Samuel C Ballon Md Facog Facs Frcsc A Prof Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL C BALLON MD FACOG FACS FRCSC A PROF CORPORATION (NPI 1205012127) is a healthcare organization registered as a specialist in San Jose, California and active in the NPI registry since January 2008. The organization lists Samuel C Ballon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205012127

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSAMUEL C BALLON MD FACOG FACS FRCSC A PROF CORPORATION

Location Address2504 SAMARITAN DR STE 20San Jose, CA 95124-4005

Mailing Address2504 Samaritan Dr Ste 20San Jose, CA 95124-4005 · (408) 356-3725 · Fax (408) 376-3713

Phone(408) 356-3725

Fax(408) 376-3713

Organization SubpartNo

Authorized OfficialSamuel C BallonCeo · (408) 356-3725

Enumeration DateJanuary 10, 2008

Last NPPES UpdateMay 12, 2015

✔ NPI 1205012127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G21751

Definition

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.

2504 SAMARITAN DR STE 20, San Jose, CA 95124

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Other Identifiers 2

Medicare UPINA41369

Medicare PIN00G217514CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel C Ballon MD Facog Facs Frcsc A Prof Corporation's NPI number?

The NPI number for Samuel C Ballon MD Facog Facs Frcsc A Prof Corporation is 1205012127. It was assigned to this organization in the NPPES registry on January 10, 2008.

Where is Samuel C Ballon MD Facog Facs Frcsc A Prof Corporation located?

Samuel C Ballon MD Facog Facs Frcsc A Prof Corporation is located at 2504 Samaritan Dr Ste 20, San Jose, CA 95124. The listed phone number is (408) 356-3725.

What is Samuel C Ballon MD Facog Facs Frcsc A Prof Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Samuel C Ballon MD Facog Facs Frcsc A Prof Corporation was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.