Active NPI
Philis Denise Ransom, M.D.
- Obstetrics & Gynecology Physician
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A100123
- Practice address
- 742 W Highland Ave
San Bernardino, CA 92405 - Phone
- (909) 881-7320
- Fax
- (909) 881-7330
- NPI assigned
- Feb 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A100123 | CA | Primary |
Addresses
Primary practice location
742 W Highland Ave
San Bernardino, CA 92405
Mailing address
742 W Highland Ave
San Bernardino, CA 92405-3839
Phone (909) 881-7320
Other practice location 1
4240 Highland Ave
Suite B
Highland, CA 92346-2764
Phone (909) 864-4700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Loma Linda University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
742 W Highland Ave
San Bernardino, CA 92405-4273
Phone (909) 881-7320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A100123 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Marcos Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| San Marcos Medical Group Inc. | Past | Accepting new patients | |
| San Marcos Medical Group Inc. | Past | Accepting new patients | |
| San Marcos Medical Group Inc. | Past | Accepting new patients |
Locations
14980 Summit Ave
Ste 230
Fontana, CA 92336
Phone (909) 803-1160
7965 Sierra Ave
Ste E
Fontana, CA 92336
Phone (909) 356-4459
7576 Sterling Ave
Ste Cd
San Bernardino, CA 92410
Phone (909) 381-8983
1574 W Base Line St
Ste 107
Sn Bernrdno, CA 92411
Phone (909) 386-1880
742 W Highland Ave
Sn Bernrdno, CA 92405
Phone (909) 881-7320
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- philis.ransom.p1@direct.metro.nextgenshare.com
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Fontana, CA
- NPI 1447446448
-
- Family Medicine Physician
- San Bernardino, CA
- NPI 1548210297
-
- Family Medicine Physician
- Fontana, CA
- NPI 1639129372
-
- Family Medicine Physician
- Riverside, CA
- NPI 1952351686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561766400000",
"number": "1396914545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 W HIGHLAND AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924053839",
"telephone_number": "909-881-7320",
"fax_number": "909-881-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "742 W HIGHLAND AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92405",
"telephone_number": "909-881-7320",
"fax_number": "909-881-7330"
}
],
"practiceLocations": [
{
"address_1": "4240 Highland Ave",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Highland",
"state": "CA",
"postal_code": "923462764",
"country_code": "US",
"telephone_number": "909-864-4700",
"fax_number": "909-864-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANSOM",
"first_name": "PHILIS",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-21",
"last_updated": "2019-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A100123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.