Individual provider Active NPI

Ralph S Peiris, DO

  • Emergency Medicine Physician
  • El Centro, CA
National Provider Identifier
1730142282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A8157 Issued in CA
Practice address
1415 Ross Avenue
El Centro, CA 99243-4306
Phone
(760) 339-7254
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

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
Emergency Medicine Physician 207P00000X 20A8157 CA Primary

Addresses

Primary practice location

1415 Ross Avenue
El Centro, CA 99243-4306

Mailing address

PO Box 11179
Westminster, CA 92685-1179
Phone (888) 517-2788

Other identifiers 1

IdentifierTypeStateIssuer
00AX81570MedicaidCA

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
I20040408000789 CA Practitioner - Emergency Medicine 2769476258 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chico Emergency Physicians Medical Group IncGroup PAC ID 0345277349, 25 clinicians
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-7330

888 Lakeside VLG CMNS
Chico, CA 95928-3979
Phone (530) 332-6850

Hospital & facility affiliations

  • Enloe Health Hospital, Chico, CA, CCN 050039

Merit-based Incentive Payment System (MIPS)

Final score
97.23 of 100Reported as group
Quality
82.54
Promoting interoperability
100
Improvement activities
40
Cost
86.14

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Em Alliance California, Apc Emergency Medicine CurrentSince Sep 13, 2024 Accepting new patients
Chico Emergency Physicians Medical Group, Inc Emergency Medicine CurrentSince Aug 1, 2014 Accepting new patients
Enloe Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Grossmont Emergency Medical Group Emergency Medicine Past Accepting new patients

Locations

888 Lakeside Vlg Cmns
Chico, CA 95928
Phone (530) 332-6800

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

L4421
Columbus, OH 43260

Interoperability endpoints

  • Direct secure messaging: rpeiris15389@enloedirect.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730142282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11179",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926851179",
            "telephone_number": "888-517-2788",
            "fax_number": "562-468-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ROSS AVENUE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "992434306",
            "telephone_number": "760-339-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIRIS",
        "first_name": "RALPH",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A8157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX81570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.