Individual provider Active NPI

Ronald G Persaud, M.D.

  • Psychiatry Physician
  • Calabasas, CA
National Provider Identifier
1073614913
Registry record updated Sep 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C52276 Issued in CA
Practice address
4505 Las Virgenes Rd Ste 204
Calabasas, CA 91302-1956
Phone
(818) 871-9500
Fax
(818) 871-9550
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C52276 CA Primary

Addresses

Primary practice location

4505 Las Virgenes Rd Ste 204
Calabasas, CA 91302-1956

Mailing address

4505 Las Virgenes Rd Ste 204
Calabasas, CA 91302-1956
Phone (818) 871-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070517000586 CA Practitioner - Psychiatry 6204933724 Practice locations: Sherman Oaks, CA; Calabasas, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15300 Ventura Blvd
Suite 307a
Sherman Oaks, CA 91403-3103
Phone (818) 325-3911

4505 Las Virgenes Rd
Calabasas, CA 91302-1956
Phone (818) 871-9500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C52276CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1073614913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 LAS VIRGENES RD STE 204",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021956",
            "telephone_number": "818-871-9500",
            "fax_number": "818-871-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 LAS VIRGENES RD STE 204",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021956",
            "telephone_number": "818-871-9500",
            "fax_number": "818-871-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "RONALD",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C52276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.