NPIMap

Individual provider Active NPI

Michelle Dulude Ribas, M.D.

  • Surgery Physician
  • Templeton, CA
National Provider Identifier
1790060697
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A116654 Issued in CA
Practice address
292 Posada LN Ste C
Templeton, CA 93465-4054
Phone
(805) 434-2253
Fax
(805) 434-3850
NPI assigned
Oct 12, 2011
Last updated
Aug 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A116654 CA Primary

Addresses

Primary practice location

292 Posada LN Ste C
Templeton, CA 93465-4054

Mailing address

921 Oak Park Blvd Ste 201
Pismo Beach, CA 93449-3400
Phone (805) 546-0411

Other names 1

  • Michelle Zenaida Dulude Ribas Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140813000790 CA Practitioner - General Surgery 2860619905 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, Davis School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Surgeons of San Luis ObispoGroup PAC ID 7810949989, 10 clinicians

Practice addresses (Care Compare)

292 Posada LN
Suite C
Templeton, CA 93465-4054
Phone (805) 434-2253

300 Canal St
King City, CA 93930-3431
Phone (831) 385-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)11
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue642
Removal of skin lesions1-10
Skin biopsy12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116654CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Monterey County Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Associated Surgeons of San Luis Obispo Surgery CurrentSince Sep 1, 2014 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Associated Surgeons of San Luis Obispo Surgery PastSince Sep 1, 2014 Accepting new patients

Locations

210 Canal St
King City, CA 93930
Phone (931) 385-7100

300 Canal St
King City, CA 93930
Phone (831) 385-6000

685 Morro Ave
Morro Bay, CA 93442
Phone (805) 772-7313

921 Oak Park Blvd
Ste 201
Pismo Beach, CA 93449
Phone (805) 546-0411

77 Casa St
Ste 103
Sn Luis Obisp, CA 93405
Phone (805) 544-8993

292 Posada Ln
Ste C
Templeton, CA 93465
Phone (805) 434-2253

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1294
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDEGCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1790060697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 OAK PARK BLVD STE 201",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493400",
            "telephone_number": "805-546-0411",
            "fax_number": "805-473-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 POSADA LN STE C",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654054",
            "telephone_number": "805-434-2253",
            "fax_number": "805-434-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBAS",
        "first_name": "MICHELLE",
        "middle_name": "DULUDE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A116654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DULUDE RIBAS",
            "middle_name": "ZENAIDA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Templeton, CA

Sources for this page

Verify at the official NPI Registry.