Bryan Ball
Day Training/Habilitation Specialist in Placerville, CA. Individual provider (NPI-1).
NPI number1669654083
StatusActive
Last updated in NPPESApr 23, 2025
Details
- NPI
- 1669654083
- Entity type
- Individual (NPI-1)
- Name
- Bryan Ball
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 27, 2007
- Certification date
- Apr 23, 2025
- Last updated
- Apr 23, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 172V00000X | Community Health Worker | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
670 Placerville Dr Ste 2Placerville, CA 95667-4200
Phone 530-644-2412 · Fax 530-621-9804
Mailing address
4805 Golden Foothill PkwyEl Dorado Hills, CA 95762-9651
Phone 530-644-2412
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