Active NPI
Ralph D. Bien, M.D.
- Psychiatry Physician
- San Rafael, CA
National Provider Identifier
1770648628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G034558
- Practice address
- 750 Las Gallinas Ave
Suite 213
San Rafael, CA 94903-3438 - Phone
- (415) 461-4534
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G034558 | CA | Primary |
Addresses
Primary practice location
750 Las Gallinas Ave
Suite 213
San Rafael, CA 94903-3438
Mailing address
750 Las Gallinas Ave
Suite 213
San Rafael, CA 94903-3438
Phone (415) 461-4534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 14, 2024 through Oct 14, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G034558 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1770648628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 LAS GALLINAS AVE",
"address_2": "SUITE 213",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033438",
"telephone_number": "415-461-4534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 LAS GALLINAS AVE",
"address_2": "SUITE 213",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033438",
"telephone_number": "415-461-4534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIEN",
"first_name": "RALPH",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G034558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.