Individual provider Active NPI

Donald A. Ramberg, M.D.

  • Neurological Surgery Physician
  • San Luis Obispo, CA
National Provider Identifier
1124093000
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G56939 Issued in CA
Practice address
699 California Blvd
Suite B
San Luis Obispo, CA 93401-2507
Phone
(805) 543-6710
Fax
(805) 543-8298
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G56939 CA Primary

Addresses

Primary practice location

699 California Blvd
Suite B
San Luis Obispo, CA 93401-2507

Mailing address

699 California Blvd
Suite B
San Luis Obispo, CA 93401-2507
Phone (805) 543-6710

Other identifiers 4

IdentifierTypeStateIssuer
00G569390OtherCABLUE SHIELD
00G569390MedicaidCA
G56939OtherCABLUE CROSS
184194600OtherCADEPT OF LABOR

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
I20060908000188 CA Practitioner - Neurosurgery 8921002759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Oregon Health Sciences University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

699 California Blvd
Suite B
San Luis Obispo, CA 93401-2507

699 California Blvd B
San Luis Obispo, CA 93401-2507

Hospital & facility affiliations

  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion40
Laminectomy or laminotomy (partial removal of spine bones)38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56939CAMDPeriodontist
G56939CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Donald a. Ramberg M.D., Inc. Neurological Surgery CurrentSince Sep 8, 1998 Accepting new patients
Dignity Community Care Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients

Locations

699 California Blvd
#B
Sn Luis Obisp, CA 93401
Phone (805) 543-6710

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2849/brand/1/csg/1/fhir/r4
  • Direct secure messaging: donald.ramberg.1@2849.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1124093000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 CALIFORNIA BLVD",
            "address_2": "SUITE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012507",
            "telephone_number": "805-543-6710",
            "fax_number": "805-543-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 CALIFORNIA BLVD",
            "address_2": "SUITE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012507",
            "telephone_number": "805-543-6710",
            "fax_number": "805-543-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBERG",
        "first_name": "DONALD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G56939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G569390",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G569390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G56939",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "184194600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.