Jacob Ballard

NPI 1053027854 · on the registry since 2023

Practice

Address: 115 E Fesler St
Santa Maria, CA 93454
Phone: (805) 922-6597
Organisation at this address: Aegis Treatment Centers, Llc
Aegis Treatment Centers, Llc
Nationwide Medical Group, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 111

Additional practice sites

590 Rio Lindo Ave, Chico, CA
3707 E Shields Ave, Fresno, CA

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: 2026-09-03

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