Individual provider Active NPI

Ronald E Rocha, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Luis Obispo, CA
National Provider Identifier
1780611533
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
G76988 Issued in CA
Practice address
3701 S Higuera St
Ste 200
San Luis Obispo, CA 93401-7462
Phone
(805) 541-6033
NPI assigned
Jun 27, 2006
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G76988 CA Primary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X G76988 CA

Addresses

Primary practice location

3701 S Higuera St
Ste 200
San Luis Obispo, CA 93401-7462

Mailing address

PO Box 5007
San Luis Obispo, CA 93403-5007
Phone (805) 710-7308

Other identifiers 2

IdentifierTypeStateIssuer
GR0058760MedicaidCA
00G769880MedicaidCA

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
I20060124000463 CA Practitioner - Pathology 2961426465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Northwestern University Feinberg Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Pathology Services of the Central CoastGroup PAC ID 4284871658, 12 clinicians

Practice addresses (Care Compare)

1010 Murray Ave
San Luis Obispo, CA 93405-1806
Phone (805) 456-7600

1400 E Church St
Santa Maria, CA 93454-5906
Phone (805) 739-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.36 of 100Reported as group
Quality
88.72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76988CAMDPharmacist
G76988CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Diagnostic Services Laboratory, LLC CurrentSince Jul 28, 2019 Accepting new patients
Affiliated Pathologists of the Central Coast Anatomic Pathology & Clinical Pathology Current Accepting new patients
Affiliated Pathologists of the Central Coast Anatomic Pathology & Clinical Pathology CurrentSince Feb 17, 2013 Accepting new patients
Affiliated Pathologists of the Central Coast Anatomic Pathology & Clinical Pathology CurrentSince Mar 4, 2013 Accepting new patients
Diagnostic Pathology Services of the Central Coast Anatomic Pathology & Clinical Pathology CurrentSince Feb 17, 2025 Accepting new patients
Pacific Point Laboratories, Inc. PastSince Aug 31, 2017 Accepting new patients
Central Coast Pathology Consultants, Inc Past Accepting new patients
Affiliated Pathologists of the Central Coast Anatomic Pathology & Clinical Pathology Past Accepting new patients
Central Coast Pathology Consultants, Inc. Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

345 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 489-4261

3701 S Higuera St
San Luis Obispo, CA 93401
Phone (805) 541-6033

10200 Pioneer Blvd
Ste 500
Santa Fe Springs, CA 90670
Phone (562) 906-5227

1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000

1414 E Main St
Ste 102
Santa Maria, CA 93454
Phone (805) 548-1550

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633

3701 S Higuera St
Ste 200
Sn Luis Obisp, CA 93401
Phone (805) 541-6033

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1780611533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5007",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934035007",
            "telephone_number": "805-710-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S HIGUERA ST",
            "address_2": "STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017462",
            "telephone_number": "805-541-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "RONALD",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G76988",
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CA",
            "license": "G76988",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0058760",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G769880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.