Individual provider Active NPI

Shamsundar Ramrattan, D.O.

  • Internal Medicine Physician
  • Canyon Country, CA
National Provider Identifier
1598968844
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2OA6991 Issued in CA
Practice address
28504 Colhary CT
Canyon Country, CA 91387-5316
Phone
(661) 252-7580
NPI assigned
Jun 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2OA6991 CA Primary

Addresses

Primary practice location

28504 Colhary CT
Canyon Country, CA 91387-5316

Mailing address

28504 Colhary CT
Canyon Country, CA 91387-5316
Phone (661) 252-7580

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
I20051107000792 CA Practitioner - Internal Medicine 4486672524 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choice Urgent CareGroup PAC ID 4284168386, 12 clinicians
Lakeside Medical Organization a Medical Group IncGroup PAC ID 7618005166, 64 clinicians

Practice addresses (Care Compare)

13010 Hesperia Rd
Suite 600
Victorville, CA 92395-8321
Phone (760) 946-5888

191 S Buena Vista St
Suite 150
Burbank, CA 91505-4522
Phone (818) 295-5920

Merit-based Incentive Payment System (MIPS)

Final score
80.57 of 100Reported as group
Quality
62.42
Promoting interoperability
76
Improvement activities
40
Cost
76.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2OA6991CAMDInternal Medicine Physician
6991CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Apr 1, 2015 Accepting new patients
Choice Urgent Care CurrentSince Dec 20, 2024 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Feb 1, 2015 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Feb 1, 2015 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles CurrentSince Apr 1, 2015 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients
Heritage Provider Network, Inc. Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

19111 Town Center Dr
Apple Valley, CA 92308
Phone (661) 345-3055

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

9500 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 836-5004

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 829-6741

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

13010 Hesperia Rd
Ste 600
Victorville, CA 92395
Phone (760) 350-2498

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: shamsundar.ramrattan.p1@direct.bfmc.nextgenshare.com
  • Direct secure messaging: shamsundar.ramrattan.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: shamsundar.ramrattan.p8@direct.bfmc.nextgenshare.com

Organizations & group practices 10

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598968844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28504 COLHARY CT",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913875316",
            "telephone_number": "661-252-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28504 COLHARY CT",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913875316",
            "telephone_number": "661-252-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMRATTAN",
        "first_name": "SHAMSUNDAR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "2OA6991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

Verify at the official NPI Registry.