Individual provider Active NPI

Ralph Koo, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Sacramento, CA
National Provider Identifier
1205932050
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
GO81031 Issued in CA
Practice address
2801 L St
Sacramento, CA 95816-5615
Phone
(916) 454-2222
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X GO81031 CA Primary

Addresses

Primary practice location

2801 L St
Sacramento, CA 95816-5615

Mailing address

2801 L St
Sacramento, CA 95816-5615
Phone (916) 454-2222

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
I20061017000616 CA Practitioner - Emergency Medicine 2365448271 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of South Carolina School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 429-3600

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GO81031CAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Apr 1, 2018 Accepting new patients
Northbay Healthcare Group CurrentSince Aug 1, 2020 Accepting new patients
Cep America-California CurrentSince Apr 1, 2018 Accepting new patients
Emergency Physicians Associates Fremont PC CurrentSince Jan 1, 2019 Accepting new patients
Cep America - California Current Accepting new patients
Northbay Healthcare Group CurrentSince Aug 1, 2020 Accepting new patients
Emergency Physicians Associates Overhead Operating Account Dennis Belo CurrentSince Jun 3, 2017 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
County of San Joaquin Past Accepting new patients
Southern Solano Emergency Medical Group, Inc Past Accepting new patients
Quantum Healthcare Medical Associates Inc. Past Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

2801 L St
Sacramento, CA 95816
Phone (916) 454-2222

768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

Organizations & group practices 11

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 2

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1205932050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 L ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165615",
            "telephone_number": "916-454-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 L ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165615",
            "telephone_number": "916-454-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOO",
        "first_name": "RALPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "GO81031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.