NICOLLETTE L. BALLOU, M.D.
NPI 1790304707
Pediatrics in Culver City, CA

Q: What is Nicollette L. Ballou, M.D.'s NPI number?

The NPI number for Nicollette L. Ballou, M.D. is 1790304707. It was assigned to this organization in the NPPES registry on April 9, 2020.

Q: What is Nicollette L. Ballou, M.D.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 09, 2020

3831 HUGHES AVE STE 602, CULVER CITY, CA 90232(310) 659-7867(310) 878-2118 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicollette L. Ballou, M.d. NPPES

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

NICOLLETTE L. BALLOU, M.D. (NPI 1790304707) is a healthcare organization registered as a pediatrics in Culver City, California and active in the NPI registry since April 2020. The organization lists Nicolette Lee Ballou, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790304707

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameNICOLLETTE L. BALLOU, M.D.

Location Address3831 HUGHES AVE STE 602Culver City, CA 90232-6845

Mailing Address3831 Hughes Ave Ste 602Culver City, CA 90232-6845 · (310) 659-7867 · Fax (310) 878-2118

Phone(310) 659-7867

Fax(310) 878-2118

Organization SubpartNo

Authorized OfficialNicolette Lee BallouCeo · (310) 659-7867

Enumeration DateApril 9, 2020

NPPES CertifiedApril 9, 2020

✔ NPI 1790304707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3831 HUGHES AVE STE 602, Culver City, CA 90232

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Other Identifiers 1

Medicaid1457420077CA

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 Nicollette L. Ballou, M.D.'s NPI number?

The NPI number for Nicollette L. Ballou, M.D. is 1790304707. It was assigned to this organization in the NPPES registry on April 9, 2020.

Where is Nicollette L. Ballou, M.D. located?

Nicollette L. Ballou, M.D. is located at 3831 Hughes Ave Ste 602, Culver City, CA 90232. The listed phone number is (310) 659-7867.

What is Nicollette L. Ballou, M.D.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Nicollette L. Ballou, M.D. was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.