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1750487914

NPI Code Detail

MEDICARE: RACHEL RUSHTON BALLARD MD

MEDICARE: RACHEL RUSHTON BALLARD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	036.134917	IL
2	2084P0804X	Child & Adolescent Psychiatry Physician	036.134917	IL
3	2084P0804X	Child & Adolescent Psychiatry Physician	C193569	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	TXB111024	OTHER	TX	MEDICARE PECOS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	C193569	OTHER	CA	LICENSE
4	D0117424	OTHER	TX	DPS
5	K9720	OTHER	TX	LICENSE

General Provider Information

NPI Number	:	1750487914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL RUSHTON BALLARD MD

Provider Business Mailing Address
First Line	:	2500 E FOOTHILL BLVD STE 300
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-7102
Country	:	US
Telephone Number	:	626-993-3000
Fax Number	:	626-993-3084

Provider Business Practice Location Address
First Line	:	2500 E FOOTHILL BLVD STE 300
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-7102
Country	:	US
Telephone Number	:	626-993-3000
Fax Number	:	626-993-3084

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	05/23/2025

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Directions to “ RACHEL RUSHTON BALLARD MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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