OrganizationActive
Nicollette L. Ballou, M.D.
NPI 1790304707 · Pediatrics Physician · Culver City, CA
Nicollette L. Ballou, M.D. is a Pediatrics Physician organization in Culver City, CA (NPI 1790304707).
Provider details
- NPI number
- 1790304707
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicolette Ballou, Ceo(310) 659-7867
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3831 Hughes Ave Ste 602
Culver City, CA 90232-6845
Phone: (310) 659-7867
Fax: (310) 878-2118
Street-level locationGet directions
Mailing address
3831 Hughes Ave Ste 602
Culver City, CA 90232-6845
Registry dates
- Enumerated
- 2020-04-09
- Last updated
- 2020-04-09
- Certified
- 2020-04-09
Frequently asked questions
- What is Nicollette L. Ballou, M.D.'s NPI number?
- Nicollette L. Ballou, M.D.'s National Provider Identifier (NPI) is 1790304707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nicollette L. Ballou, M.D.?
- Nicollette L. Ballou, M.D. is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Nicollette L. Ballou, M.D. located?
- Nicollette L. Ballou, M.D.'s practice location on file with NPPES is 3831 Hughes Ave Ste 602, Culver City, CA 90232-6845.
- What is Nicollette L. Ballou, M.D.'s phone number?
- The practice phone number listed in the NPPES registry for Nicollette L. Ballou, M.D. is (310) 659-7867.
- Who is the authorized official for Nicollette L. Ballou, M.D.?
- The authorized official listed on Nicollette L. Ballou, M.D.'s NPPES record is Nicolette Ballou, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nicollette L. Ballou, M.D.'s NPI active?
- Yes — Nicollette L. Ballou, M.D.'s NPI (1790304707) is active in the NPPES registry as of the last update on 2020-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.