Individual provider Active NPI

Maria Cecelia a Rasul, MD

  • Obstetrics & Gynecology Physician
  • San Luis Obispo, CA
National Provider Identifier
1366438806
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C51160 Issued in CA
Practice address
1941 Johnson Ave Ste 301
San Luis Obispo, CA 93401-4175
Phone
(805) 786-4111
Fax
(805) 543-6357
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C51160 CA Primary

Addresses

Primary practice location

1941 Johnson Ave Ste 301
San Luis Obispo, CA 93401-4175

Mailing address

1941 Johnson Ave Ste 301
San Luis Obispo, CA 93401-4175
Phone (805) 786-4111

Other practice location 1

350 Posada Ln Ste 202
Templeton, CA 93465-4060
Phone (805) 434-5497

Other identifiers 1

IdentifierTypeStateIssuer
CB243502OtherCAMEDICARE ID

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
I20151015001280 CA Practitioner - Obstetrics/Gynecology 0143241851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Central Coast Health CentersGroup PAC ID 9739091364, 247 clinicians

Practice addresses (Care Compare)

220 S Palisade Dr
Suite 203
Santa Maria, CA 93454-8903
Phone (805) 354-7101

Hospital & facility affiliations

  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51160CAMDGeneral Practice Dentistry
C51160CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers CurrentSince Aug 1, 2015 Accepting new patients
Inova Health Care Services Obstetrics & Gynecology Past Accepting new patients
Dignity Community Care Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Inova Health Care Services Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Medlantic Healthcare Group Past Accepting new patients
Virginia Hospital Center Arlington Health System Past Accepting new patients
Dignity Health Past Accepting new patients
Reston Hospital Center LLC Past Accepting new patients

Locations

220 S Palisade Dr
Ste 203
Santa Maria, CA 93454
Phone (805) 354-7101

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

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

1941 Johnson Ave
Ste 301
Sn Luis Obisp, CA 93401
Phone (805) 597-6715

350 Posada Ln
Ste 202
Templeton, CA 93465
Phone (805) 434-5497

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1366438806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 JOHNSON AVE STE 301",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014175",
            "telephone_number": "805-786-4111",
            "fax_number": "805-543-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 JOHNSON AVE STE 301",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014175",
            "telephone_number": "805-786-4111",
            "fax_number": "805-543-6357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Posada Ln Ste 202",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934654060",
            "country_code": "US",
            "telephone_number": "805-434-5497",
            "fax_number": "805-434-0917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASUL",
        "first_name": "MARIA",
        "middle_name": "CECELIA A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C51160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CB243502",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.