Ralph E Dilisio MD FCCP Inc.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

00G873970 Issued in CA

Legal business name

RALPH E DILISIO MD FCCP INC.

Practice address

585 W College Ave Ste a
Santa Rosa, CA 95401-5060

Phone

(707) 526-3500

Fax

(707) 526-2358

NPI assigned

Feb 19, 2010

Organization subpart

No

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

Authorized official

Name

Ralph E Dilisio, MD

Title

President

Phone

(707) 526-3500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1205158003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 W COLLEGE AVE STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015060",
            "telephone_number": "707-526-3500",
            "fax_number": "707-526-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 W COLLEGE AVE STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015060",
            "telephone_number": "707-526-3500",
            "fax_number": "707-526-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH E DILISIO MD FCCP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "DILISIO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-526-3500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "00G873970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G873970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Janet Ragozzino
• Suzanne Lydia Ragsdale, FNP-C, MSN
• Alena C Ragueneau, RADT-1
• Jie Giok Rahardja, PHARMD
• Bahareh Rahmattan
• Ralph P. Hoyal, DPM
• Alyssa Ramage
• Avinash Nari Ramchandani, MD
• Gajendran Ramen, M.S HUMAN NUTRITION
• Jake Rames, DMD

• Pulmonary Disease Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.