1. Home
  2. Directory
  3. California
  4. Redding
  5. Family Medicine
  6. NPI Profile

BALLARD MEDICAL CORPORATION
NPI 1629149984
Family Medicine in Redding, CA

Active since November 10, 2006CLIA 05D0618028 · Waiver
1115 WHISKEYTOWN CT, SUITE B, REDDING, CA 96001(530) 244-9750(530) 244-0960 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ballard Medical Corporation NPPES

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

BALLARD MEDICAL CORPORATION (NPI 1629149984) is a healthcare organization registered as a family medicine in Redding, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Morris Robert Ballard, President, as its authorized official.

NPPES Registry Identity

NPI1629149984
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBALLARD MEDICAL CORPORATION
Location Address1115 WHISKEYTOWN CT, SUITE BRedding, CA 96001-0227
Mailing Address1115 Whiskeytown Ct, Suite BRedding, CA 96001-0227 · (530) 244-9750 · Fax (530) 244-0960
Phone(530) 244-9750
Fax(530) 244-0960
Organization SubpartNo
Authorized OfficialMorris Robert BallardPresident · (530) 244-9750
Enumeration DateNovember 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629149984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · G017510✔ Licensed in CA · G14717
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1115 WHISKEYTOWN CT, Redding, CA 96001
Open in Google Maps ↗

Other Identifiers 2

OtherZZZ89207ZCA · Blue Shield Provider #
MedicaidGR0001720CA

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0618028

Ballard Medical Corp · Redding, CA
Active · expires Aug 31, 2026
CLIA Number05D0618028
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMorris R. Ballard
Laboratory Phone(916) 244-9750
Laboratory LocationBallard Medical Corp1115 Whiskeytown Ct Suiteb, Redding, CA 96001
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Ballard Medical Corporation's NPI number?

The NPI number for Ballard Medical Corporation is 1629149984. It was assigned to this organization in the NPPES registry on November 10, 2006.

Where is Ballard Medical Corporation located?

Ballard Medical Corporation is located at 1115 Whiskeytown Ct Suite B, Redding, CA 96001. The listed phone number is (530) 244-9750.

What is Ballard Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ballard Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0618028) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ballard Medical Corporation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.