Individual
RACHEL RUSHTON BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5275 CLAREMONT AVE, OAKLAND, CA 94618-1032
(510) 428-3571
(510) 597-7171
Mailing address
5275 CLAREMONT AVE, OAKLAND, CA 94618-1032
(510) 428-3571
(510) 597-7171
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036.134917
IL
2084P0804X
Child & Adolescent Psychiatry Physician
036.134917
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
C193569
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047715004
—
TX
01
—
C193569
LICENSE
CA
01
—
D0117424
DPS
TX
01
—
K9720
LICENSE
TX
01
—
TXB111024
MEDICARE PECOS
TX
Enumeration date
09/15/2006
Last updated
05/05/2026
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