David W. Ralston, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G32733 Issued in CA

Practice address

1 Grand Ave
Cal Poly Student Health Services
San Luis Obispo, CA 93407-9000

Phone

(805) 756-1211

Fax

(805) 756-5286

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 26, 2023 through Mar 26, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Synergy Multidisciplinary Health Group

  • Internist Chiropractor
  • San Luis Obispo, CA
  • NPI 1831232321
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861537565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GRAND AVE",
            "address_2": "CAL POLY STUDENT HEALTH SERVICES",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934079000",
            "telephone_number": "805-756-1211",
            "fax_number": "805-756-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GRAND AVE",
            "address_2": "CAL POLY STUDENT HEALTH SERVICES",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934079000",
            "telephone_number": "805-756-1211",
            "fax_number": "805-756-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALSTON",
        "first_name": "DAVID",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G32733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce D Ragsdale, M.D.
• Mary Alice Raia
• Elena C Rains
• Satish Padmaraj Raj, MD
• Natasha Raja, M.D.
• Donald A. Ramberg, M.D.
• Cheri Ramey
• Allen Jay Ramirez, MS, LMFT
• Amelia Ramirez, LMFT
• Elizabeth Jean Ramirez, NP

• Internal Medicine Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.