Individual provider Active NPI

Ronald Hansel Main, M.D.

  • Cardiovascular Disease Physician
  • Carlsbad, CA
National Provider Identifier
1063520526
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G40882 Issued in CA
Practice address
2604B El Camino Real Ste 275
Carlsbad, CA 92008-1214
Phone
(442) 888-4176
NPI assigned
Aug 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01094694A IN
Cardiovascular Disease Physician 207RC0000X G40882 CA Primary

Addresses

Primary practice location

2604B El Camino Real Ste 275
Carlsbad, CA 92008-1214

Mailing address

2604B El Camino Real Ste 275
Carlsbad, CA 92008-1214
Phone (442) 888-4176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, MT, CA, OH4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20060404000742 HI Practitioner - Cardiovascular Disease (Cardiology) 6103871645 Reassigns benefits to 1 organization
I20190128000503 MT Practitioner - Cardiovascular Disease (Cardiology) 6103871645 Reassigns benefits to 1 organization
I20210112002137 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6103871645 Reassigns benefits to 3 organizations
I20260610002759 OH Practitioner - Cardiovascular Disease (Cardiology) 6103871645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Physician Services LLCGroup PAC ID 0143366591, 97 clinicians
County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians

Practice addresses (Care Compare)

400 Medical Park Dr
LL1
Dover, OH 44622-3207
Phone (330) 602-3098

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

  • Union Hospital Hospital, Dover, OH, CCN 360010
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G40882CAMDCardiovascular Disease Physician
01094694AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Nov 16, 2023 Accepting new patients
County of Santa Clara CurrentSince Nov 16, 2023 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jan 17, 2023 Accepting new patients
Billings Clinic Current Accepting new patients
County of Santa Clara CurrentSince Nov 16, 2023 Accepting new patients
Billings Clinic Cardiovascular Disease CurrentSince Jul 24, 2023 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Nov 16, 2023 Accepting new patients
Billings Clinic CurrentSince Jul 24, 2023 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jan 17, 2023 Accepting new patients
Sjmgroup Past Accepting new patients
New Mexico Cardiac Care Cardiovascular Disease Past Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

750 S Bascom Ave
#1112
San Jose, CA 95128

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
Fl 3
San Jose, CA 95128
Phone (408) 358-2511

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

1849 Wili Pa Loop
Wailuku, HI 96793
Phone (808) 242-2010

85 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 442-5700

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

Interoperability endpoints

  • Direct secure messaging: rmain1256247@wm.providencedirect.org
  • Direct secure messaging: rmain197389@santaclaravalley.direct-ci.net
  • Direct secure messaging: rmain360303@direct.peacehealth.org
  • Direct secure messaging: ronald.main.1@6965.direct.athenahealth.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1063520526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604B EL CAMINO REAL STE 275",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081214",
            "telephone_number": "442-888-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604B EL CAMINO REAL STE 275",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081214",
            "telephone_number": "442-888-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIN",
        "first_name": "RONALD",
        "middle_name": "HANSEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01094694A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G40882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.