Individual provider Active NPI

Ramanand C. Dandillaya, M.D.

  • Neurological Surgery Physician
  • Santa Maria, CA
National Provider Identifier
1508847187
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A35267 Issued in CA
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
183223000OtherUSDL PIN
00A352670OtherCABLUE SHIELD OF CALIFORNIA
00A352670MedicaidCA

Other names 1

  • Dr. Ram C. Dandillaya Professional name

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
I20080327000223 CA Practitioner - Neurology 3678659984

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A35267CAMDNeurological 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.

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

Verify at the official NPI Registry.