Individual provider Active NPI

Joseph Michael Ribaudo, MD

  • Anesthesiology Physician
  • Davis, CA
National Provider Identifier
1467629436
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD010663 Issued in LA
Practice address
2120 Cowell Blvd
Ste 142
Davis, CA 95618-7835
Phone
(301) 330-6203
Fax
(301) 330-6206
NPI assigned
May 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X C42686 CA
Anesthesiology Physician 207L00000X 246503-1 NY
Anesthesiology Physician 207L00000X MD010663 LA Primary

Addresses

Primary practice location

2120 Cowell Blvd
Ste 142
Davis, CA 95618-7835

Mailing address

1 Bank St
Ste 220
Gaithersburg, MD 20878-1504
Phone (301) 330-6203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C42686CAMDAnesthesiology Physician
MD010663LAMDAnesthesiology Physician
246503-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Anesthesia LLC Anesthesiology PastSince Apr 23, 2009 Accepting new patients
Surgical Anesthesia Services of California Anesthesiology Past Accepting new patients
Bossier Specialty Hospital LLC PastSince Jun 1, 2003 Accepting new patients

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, 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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1467629436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BANK ST",
            "address_2": "STE 220",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781504",
            "telephone_number": "301-330-6203",
            "fax_number": "301-330-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 COWELL BLVD",
            "address_2": "STE 142",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956187835",
            "telephone_number": "301-330-6203",
            "fax_number": "301-330-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBAUDO",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C42686",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "246503-1",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "MD010663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.