Active NPI
Ronald G Persaud, M.D.
- Psychiatry Physician
- Calabasas, CA
National Provider Identifier
1073614913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C52276
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C52276 | CA | MD | Psychiatry 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.