Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ballard Ca, PC

Organization Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1245149020

Ballard Ca, PC provides Addiction Medicine (Psychiatry & Neurology) Physician services in Costa Mesa, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1962 Fullerton Ave
Costa Mesa, CA 92627-2232
Phone: (833) 216-0521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084A0401X

Record details

NPI number1245149020
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Arce — Coo · (310) 857-0115
NPI enumeratedSeptember 5, 2026
Last updated in NPPESSeptember 5, 2026
Certification dateSeptember 5, 2026
Mailing address3267 Bee Caves Rd Ste 107-225, Austin, TX 78746-6700

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