NPIMap

Individual provider Active NPI

Ralph James Groves, M.D.

  • Family Medicine Physician
  • Yosemite, CA
National Provider Identifier
1679652218
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C54835 Issued in CA
Practice address
9000 Ahwahnee Drive
Yosemite Medical Clinic
Yosemite, CA 95389
Phone
(209) 372-4637
Fax
(209) 372-4330
NPI assigned
Nov 3, 2006
Last updated
Nov 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2002-0334 NM
Family Medicine Physician 207Q00000X MD10834 RI
Family Medicine Physician 207Q00000X C54835 CA Primary

Addresses

Primary practice location

9000 Ahwahnee Drive
Yosemite Medical Clinic
Yosemite, CA 95389

Mailing address

801 Vassar Dr NE
Albuquerque, NM 87106-2725
Phone (505) 248-4065

Other identifiers 2

IdentifierTypeStateIssuer
37670889MedicaidNM
866733MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040820000232 TX Practitioner - Family Practice 3476527078 Reassigns benefits to 2 organizations
I20111227000433 CA Practitioner - Family Practice 3476527078 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C54835CAMDFamily Medicine Physician
MD10834RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
US Dept of the Interior National Park Service CurrentSince Jun 26, 2011 Accepting new patients
Santa Ana Health Center CurrentSince Nov 20, 2019 Accepting new patients
Albuquerque Indian Health Center CurrentSince Nov 20, 2019 Accepting new patients
US Department of the Interior, National Park Service CurrentSince Jun 26, 2011 Accepting new patients
Santa Clara Health Center PastSince Jan 19, 2012 Accepting new patients
Cochiti Health Clinic Past Accepting new patients
Santa Ana Health Clinic Pharmacy Past Accepting new patients
Narragansett Indian Health Center Past Accepting new patients
Santo Domingo Health Clinic Past Accepting new patients
National Park Service Past Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients
Narragansett Indian Tribe Past Accepting new patients
San Felipe Health Clinic Past Accepting new patients

Locations

801 Vassar Dr NE
Albuquerque, NM 87106
Phone (505) 248-4000

2 Dove Rd
#C
Bernalillo, NM 87004
Phone (505) 867-2497

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1679652218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 VASSAR DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062725",
            "telephone_number": "505-248-4065",
            "fax_number": "505-248-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 AHWAHNEE DRIVE",
            "address_2": "YOSEMITE MEDICAL CLINIC",
            "city": "YOSEMITE",
            "state": "CA",
            "postal_code": "95389",
            "telephone_number": "209-372-4637",
            "fax_number": "209-372-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "RALPH",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2002-0334",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD10834",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C54835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37670889",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "866733",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yosemite, CA

Sources for this page

Verify at the official NPI Registry.