Active NPI
Ramanand C. Dandillaya, M.D.
- Neurological Surgery Physician
- Santa Maria, CA
National Provider Identifier
1508847187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- A35267
- Practice address
- 210 S Palisade Dr
Suite 203
Santa Maria, CA 93454-8901 - Phone
- (805) 928-5851
- Fax
- (805) 922-1963
- NPI assigned
- Nov 9, 2005
- Last updated
- Dec 4, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | A35267 | CA | Primary |
Addresses
Primary practice location
210 S Palisade Dr
Suite 203
Santa Maria, CA 93454-8901
Mailing address
210 S Palisade Dr
Suite 203
Santa Maria, CA 93454-8901
Phone (805) 928-5851
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183223000 | Other | USDL PIN | |
| 00A352670 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| 00A352670 | Medicaid | CA |
Other names 1
- Dr. Ram C. Dandillaya
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080327000223 | CA | Practitioner - Neurology | 3678659984 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A35267 | CA | MD | Neurological Surgery Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Santa Maria, CA
- NPI 1063537652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1508847187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S PALISADE DR",
"address_2": "SUITE 203",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934548901",
"telephone_number": "805-928-5851",
"fax_number": "805-922-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S PALISADE DR",
"address_2": "SUITE 203",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934548901",
"telephone_number": "805-928-5851",
"fax_number": "805-922-1963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANDILLAYA",
"first_name": "RAMANAND",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A35267",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USDL PIN",
"identifier": "183223000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "00A352670",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A352670",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RAM",
"last_name": "DANDILLAYA",
"middle_name": "C.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Dec 4, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.