NPIMap

Individual provider Active NPI

Ragesh Panikkath, MD

  • Clinical Cardiac Electrophysiology Physician
  • San Luis Obispo, CA
National Provider Identifier
1275828113
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
A161106 Issued in CA
Practice address
862 Aerovista PL Ste 100
San Luis Obispo, CA 93401-8758
Phone
(805) 549-8023
Fax
(805) 549-8252
NPI assigned
Jun 17, 2011
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A161106 CA
Clinical Cardiac Electrophysiology Physician 207RC0001X A161106 CA Primary

Addresses

Primary practice location

862 Aerovista PL Ste 100
San Luis Obispo, CA 93401-8758

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

1941 Johnson Ave Ste 101
San Luis Obispo, CA 93401-4154
Phone (805) 782-8844

Other practice location 2

1551 Bishop St Ste 230
San Luis Obispo, CA 93401-4661
Phone (805) 549-6990

Other practice location 3

1304 Ella St Ste A
San Luis Obispo, CA 93401-4165
Phone (805) 549-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190611002603 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Electrophysiology 3971801325 Reassigns benefits to 1 organization
I20191122001806 AZ Practitioner - Cardiac Electrophysiology 3971801325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology, Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Regents of the University of CaliforniaGroup PAC ID 1355248584, shared by 11 NPIs, 1,426 clinicians

Practice addresses (Care Compare)

862 Aerovista PL
Suite 100
San Luis Obispo, CA 93401-8758
Phone (805) 549-8023

892 Aerovista PL
Suite 240
San Luis Obispo, CA 93401-8054
Phone (805) 541-8252

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59548AZMDClinical Cardiac Electrophysiology Physician
A161106CAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers Current Accepting new patients
Pacific Central Coast Health Centers CurrentSince May 27, 2024 Accepting new patients
Pacific Central Coast Health Centers CurrentSince May 27, 2024 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Hemet Valley Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Dignity Community Care Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients

Locations

500 Old River Rd
Ste 200
Bakersfield, CA 93311
Phone (661) 663-6429

2901 N Ventura Rd
Ste 110
Oxnard, CA 93036
Phone (805) 981-6163

1941 Johnson Ave
Ste 102
San Luis Obispo, CA 93401
Phone 8057828844 ext. 161

117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

1304 Ella St
Ste A
Sn Luis Obisp, CA 93401
Phone (805) 541-1060

1551 Bishop St
Ste 230
Sn Luis Obisp, CA 93401
Phone (805) 434-5530

1941 Johnson Ave
Ste 101
Sn Luis Obisp, CA 93401

295 Posada Ln
Ste A
Templeton, CA 93465
Phone (805) 434-2262

Organizations & group practices 12

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.

Hospital & facility affiliations 10

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": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1275828113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 AEROVISTA PL STE 100",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018758",
            "telephone_number": "805-549-8023",
            "fax_number": "805-549-8252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1941 Johnson Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014154",
            "country_code": "US",
            "telephone_number": "805-782-8844",
            "fax_number": "805-782-8859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1551 Bishop St Ste 230",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014661",
            "country_code": "US",
            "telephone_number": "805-549-6990",
            "fax_number": "805-549-6991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1304 Ella St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014165",
            "country_code": "US",
            "telephone_number": "805-549-9555",
            "fax_number": "805-549-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANIKKATH",
        "first_name": "RAGESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A161106",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A161106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.