Individual provider Active NPI

Bruce D Ragsdale, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • San Luis Obispo, CA
National Provider Identifier
1225072374
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
A23785 Issued in CA
Practice address
3701 S Higuera St
Ste 200
San Luis Obispo, CA 93401-7462
Phone
(805) 541-6033
NPI assigned
Jun 16, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X A23785 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A23785 CA
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X A23785 CA Primary

Addresses

Primary practice location

3701 S Higuera St
Ste 200
San Luis Obispo, CA 93401-7462

Mailing address

PO Box 8139
San Luis Obispo, CA 93403-8139
Phone (805) 541-6033

Other identifiers 2

IdentifierTypeStateIssuer
00A127850MedicaidCA
GR0058760MedicaidCA

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
I20060124000388 CA Practitioner - Pathology 5799709200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of California, San Francisco School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Pathology IncGroup PAC ID 4183860703, 3 clinicians

Practice addresses (Care Compare)

1 Technology Dr
Suite C523
Irvine, CA 92618-2341
Phone (805) 543-5000

3440 Empresa Dr
Suite B
San Luis Obispo, CA 93401-7345
Phone (805) 543-5000

Merit-based Incentive Payment System (MIPS)

Final score
88.54 of 100Reported as group
Quality
77.08
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Point Laboratories, Inc. Current Accepting new patients
Western Diagnostic Services Laboratory, LLC CurrentSince Jul 28, 2019 Accepting new patients
Western Pathology Inc Anatomic Pathology & Clinical Pathology CurrentSince Mar 3, 2013 Accepting new patients
Diagnostic Pathology Services of the Central Coast Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2016 Accepting new patients
Central Coast Pathology Consultants, Inc Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

10200 Pioneer Blvd
Ste 500
Santa Fe Springs, CA 90670
Phone (562) 906-5227

1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000

1414 E Main St
Ste 102
Santa Maria, CA 93454
Phone (805) 548-1550

3440 Empresa Dr
Ste B
Sn Luis Obisp, CA 93401
Phone (805) 543-5000

3701 S Higuera St
Ste 200
Sn Luis Obisp, CA 93401
Phone (805) 541-6033

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1225072374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8139",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934038139",
            "telephone_number": "805-541-6033",
            "fax_number": "805-549-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S HIGUERA ST",
            "address_2": "STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017462",
            "telephone_number": "805-541-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGSDALE",
        "first_name": "BRUCE",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "A23785",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A23785",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CA",
            "license": "A23785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A127850",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0058760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.