Active NPI
Ilona Ann Baran, MD
- Obstetrics & Gynecology Physician
- Santa Maria, CA
National Provider Identifier
1487639290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A45912
- Practice address
- 116 S Palisade Dr
Suite 104
Santa Maria, CA 93454-8904 - Phone
- (805) 739-3957
- NPI assigned
- Dec 14, 2005
- Last updated
- Aug 21, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A45912 | CA | Primary |
| Gynecology Physician | 207VG0400X | A45912 | CA | |
| Obstetrics Physician | 207VX0000X | A45912 | CA |
Addresses
Primary practice location
116 S Palisade Dr
Suite 104
Santa Maria, CA 93454-8904
Mailing address
117 W Bunny Ave
Santa Maria, CA 93458-2805
Phone (805) 739-3474
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
| License | State | Type | Specialty |
|---|---|---|---|
| 45912 | CA | MD | Pharmacist |
| A45912 | CA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Associates of the Redwood Empire Medical Group, Inc. | Past | Accepting new patients | |
| Arbor Medical Group Inc | Past | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | 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.
-
- Specialist
- Santa Maria, CA
- NPI 1437248549
-
dba Dignity Health Women's Center - Southwest
- Community Health Clinic/Center
- Bakersfield, CA
- NPI 1720752355
-
- Family Medicine Physician
- Santa Rosa, CA
- NPI 1245348820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1487639290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W BUNNY AVE",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934582805",
"telephone_number": "805-739-3474",
"fax_number": "805-614-5956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S PALISADE DR",
"address_2": "SUITE 104",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934548904",
"telephone_number": "805-739-3957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAN",
"first_name": "ILONA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A45912",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "A45912",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "A45912",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.