Individual provider Active NPI

Ronnie Claiborne, M.D.

  • General Practice Physician
  • Bakersfield, CA
National Provider Identifier
1578503256
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G66649 Issued in CA
Practice address
1925 17TH Street
Bakersfield, CA 93301-5012
Phone
(661) 323-2295
Fax
(661) 323-8040
NPI assigned
Jun 8, 2006
Last updated
Feb 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G66649 CA Primary

Addresses

Primary practice location

1925 17TH Street
Bakersfield, CA 93301-5012

Mailing address

1925 17TH St
Bakersfield, CA 93301-4201
Phone (661) 323-2295

Other identifiers 1

IdentifierTypeStateIssuer
00G666491MedicaidCA

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
I20060802000288 CA Practitioner - General Practice 1557374956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of New Mexico School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ronnie Claiborne MD a Professional CorporationGroup PAC ID 5991959959, 2 clinicians

Practice addresses (Care Compare)

1925 17TH St
Bakersfield, CA 93301-4201
Phone (661) 323-2295

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
34.89 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
63.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue12
Removal of skin lesions16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ronnie Claiborne M.D. a Professional Corporation General Practice CurrentSince Jul 22, 2012 Accepting new patients
Bakersfield Family Medical Group Inc Past Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients

Locations

1925 17th St
Bakersfield, CA 93301
Phone (661) 323-2295

333 S 10th St
Ste 103
Taft, CA 93268

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1578503256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 17TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014201",
            "telephone_number": "661-323-2295",
            "fax_number": "661-323-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 17TH STREET",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015012",
            "telephone_number": "661-323-2295",
            "fax_number": "661-323-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIBORNE",
        "first_name": "RONNIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G66649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G666491",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.