Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicolette Lee Ballou, MD

Individual provider Pediatrics Physician · NPI 1457420077

Nicolette Lee Ballou, MD is a Pediatric Medicine in Beverly Hills, California. Graduated from Howard University College of Medicine in 1981, 45 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
45
Trained at
Howard University College of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8920 Wilshire Blvd Ste 604
Beverly Hills, CA 90211
Phone: (310) 659-7867
Fax: (310) 659-0804
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence G53313 (CA)

Record details

NPI number1457420077
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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