Individual provider Active NPI

Ronald I Waloff, MD

  • Gastroenterology Physician
  • Freedom, CA
National Provider Identifier
1770547465
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G87858 Issued in CA
Practice address
243 Green Valley Rd Ste E
Freedom, CA 95019-3133
Phone
(831) 722-8807
Fax
(831) 722-8809
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G87858 CA Primary

Addresses

Primary practice location

243 Green Valley Rd Ste E
Freedom, CA 95019-3133

Mailing address

243 Green Valley Rd Ste E
Freedom, CA 95019-3133
Phone (831) 722-8807

Other identifiers 1

IdentifierTypeStateIssuer
0875168MedicaidPA

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
I20190227000918 CA Practitioner - Gastroenterology 1456242320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Temple University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Los Palos Gastroenterology Specialists IncGroup PAC ID 9133423015, 5 clinicians

Practice addresses (Care Compare)

1083 Los Palos Dr
Salinas, CA 93901-3916
Phone (831) 424-8888

Hospital & facility affiliations

  • Watsonville Community Hospital Hospital, Watsonville, CA, CCN 050194

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy106
Upper gastrointestinal (GI) endoscopy for acid reflux96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Los Palos Gastroenterology Specialists Inc Gastroenterology CurrentSince Jan 1, 2022 Accepting new patients

Locations

243 Green Valley Rd
Ste E
Freedom, CA 95019
Phone (831) 722-8807

1083 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-8888

Interoperability endpoints

  • Direct secure messaging: waloffr@yourcarecommunity.org

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 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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1770547465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 GREEN VALLEY RD STE E",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950193133",
            "telephone_number": "831-722-8807",
            "fax_number": "831-998-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 GREEN VALLEY RD STE E",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950193133",
            "telephone_number": "831-722-8807",
            "fax_number": "831-722-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALOFF",
        "first_name": "RONALD",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G87858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0875168",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freedom, CA

Sources for this page

Verify at the official NPI Registry.