Individual provider Active NPI

David A Rigberg, MD

  • Vascular Surgery Physician
  • Santa Monica, CA
National Provider Identifier
1285658500
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A60026 Issued in CA
Practice address
1304 15TH St Ste 102
Santa Monica, CA 90404-1810
Phone
(310) 825-5358
Fax
(310) 825-0884
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A60026 CA Primary

Addresses

Primary practice location

1304 15TH St Ste 102
Santa Monica, CA 90404-1810

Mailing address

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

Other practice location 1

200 Ucla Medical Plz Ste 526
Los Angeles, CA 90095-8344
Phone (310) 206-6294

Other identifiers 1

IdentifierTypeStateIssuer
00A600200MedicaidCA

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
I20031106000764 CA Practitioner - Vascular Surgery 0244143139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Arizona College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 5698687762, 15 clinicians

Practice addresses (Care Compare)

200 UCLA Medical PLZ
Suite 526
Los Angeles, CA 90095-0001
Phone (310) 825-9111

Hospital & facility affiliations

  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112

Merit-based Incentive Payment System (MIPS)

Final score
96.94 of 100Reported as group
Quality
83.77
Promoting interoperability
100
Improvement activities
40
Cost
72.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal26
Leg revascularization (restoring blood flow)26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60026CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Vascular Surgery CurrentSince Jul 1, 2003 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

200 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-6688

200 UCLA Medical Plz
Ste 504
Los Angeles, CA 90095
Phone (310) 825-4357

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

5767 W Century Blvd
Ste 200
Los Angeles, CA 90045

File 54206
Los Angeles, CA 90074

200 UCLA Medical Plz
Ste 526
Los Angeles, CA 90095
Phone (310) 206-6294

1223 16th St
Ste 3400
Santa Monica, CA 90404
Phone (310) 319-4080

1304 15th St
Ste 102
Santa Monica, CA 90404
Phone (310) 319-4080

Interoperability endpoints

  • Direct secure messaging: drigberg48513@direct.uclahealth.org

Organizations & group practices 3

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1285658500",
    "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": "1304 15TH ST STE 102",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041810",
            "telephone_number": "310-825-5358",
            "fax_number": "310-825-0884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Ucla Medical Plz Ste 526",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958344",
            "country_code": "US",
            "telephone_number": "310-206-6294",
            "fax_number": "310-794-9603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIGBERG",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A60026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A600200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.