Individual provider Active NPI

Thaila Ramanujam, MD

  • Specialist
  • Santa Cruz, CA
National Provider Identifier
1801999206
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A51041 Issued in CA
Practice address
1505 Soquel Dr
Suite 9
Santa Cruz, CA 95065-1716
Phone
(831) 462-8960
Fax
(831) 462-8969
NPI assigned
Sep 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
Specialist 174400000X A51041 CA Primary

Addresses

Primary practice location

1505 Soquel Dr
Suite 9
Santa Cruz, CA 95065-1716

Mailing address

1505 Soquel Dr
Suite 9
Santa Cruz, CA 95065-1716
Phone (831) 462-8960

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
I20090121000470 CA Practitioner - Rheumatology 7719041631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thaila Ramanujam M D IncGroup PAC ID 1951465871, 4 clinicians

Practice addresses (Care Compare)

1505 Soquel Dr
Suite 9
Santa Cruz, CA 95065-1716
Phone (831) 462-8960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A51041CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Thaila Ramanujam M D Inc Specialist CurrentSince Jan 25, 2008 Accepting new patients
Laura Phan, MD, Inc Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

12865 Pointe del Mar Way
Ste 290
Del Mar, CA 92014

24422 Avenida de la Carlota
Ste 375
Laguna Hills, CA 92653
Phone (949) 770-4177

15055 Los Gatos Blvd
Ste 320
Los Gatos, CA 95032
Phone (408) 502-5000

880 Cass St
Ste 201
Monterey, CA 93940
Phone (831) 642-9700

485 South Dr
Ste D
Mountain View, CA 94040

65 N Madison Ave
Ste 303
Pasadena, CA 91101

2664 Berryessa Rd
Ste 205
San Jose, CA 95132
Phone (408) 258-6669

1505 Soquel Dr
Ste 9
Santa Cruz, CA 95065
Phone (831) 462-8960

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJGBA

Organizations & group practices 3

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801999206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SOQUEL DR",
            "address_2": "SUITE 9",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651716",
            "telephone_number": "831-462-8960",
            "fax_number": "831-462-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SOQUEL DR",
            "address_2": "SUITE 9",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651716",
            "telephone_number": "831-462-8960",
            "fax_number": "831-462-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMANUJAM",
        "first_name": "THAILA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A51041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.