Organization Active NPI

Donald a. Ramberg M.D., Inc.

  • Neurological Surgery Physician
  • San Luis Obispo, CA
National Provider Identifier
1184923245
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
DONALD A. RAMBERG M.D., INC.
Practice address
699 California Blvd Ste B
San Luis Obispo, CA 93401-2507
Phone
(805) 543-6710
Fax
(805) 543-8298
NPI assigned
Mar 15, 2011
Last updated
Mar 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Dr. Donald A Ramberg, M.D.NPI 1124093000
Title
Sole Owner
Phone
(805) 543-6710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
00G569390OtherCABLUE SHIELD
00G569390MedicaidCA
G56939OtherCABLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110408000642 CA Part B Supplier - Clinic/Group Practice 0143404541 Receives reassigned benefits from 1 practitioner
Practice locations: San Luis Obispo, CA

National Provider Directory

National Provider Directory

Locations

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2849/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1184923245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 CALIFORNIA BLVD STE 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 STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012507",
            "telephone_number": "805-543-6710",
            "fax_number": "805-543-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD A. RAMBERG M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "RAMBERG",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "805-543-6710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "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"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.