Individual provider Active NPI

Ronald Marc Baum, M.D.

  • Specialist
  • Calabasas, CA
National Provider Identifier
1164412375
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A93128 Issued in CA
Practice address
22343 Delia CT
Calabasas, CA 91302-5889
Phone
(818) 888-4577
Fax
(818) 888-4579
NPI assigned
Oct 27, 2005
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A93128 CA Primary

Addresses

Primary practice location

22343 Delia CT
Calabasas, CA 91302-5889

Mailing address

22343 Delia CT
Calabasas, CA 91302-5889
Phone (818) 888-4577

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
I20070125000268 CA Practitioner - Neurology 0648271197 Practice locations: Calabasas, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Rush Medical College of Rush University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22343 Delia CT
Calabasas, CA 91302-5889
Phone (818) 888-4577

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93128CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Hills Hospital Past Accepting new patients
NPI 1033163019 Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1164412375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22343 DELIA CT",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025889",
            "telephone_number": "818-888-4577",
            "fax_number": "818-888-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22343 DELIA CT",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025889",
            "telephone_number": "818-888-4577",
            "fax_number": "818-888-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "RONALD",
        "middle_name": "MARC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A93128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.