Active NPI
Ramon A Issa, MD
- Family Medicine Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C130915
- Practice address
- 25333 Barton Rd
Loma Linda, CA 92350-0210 - Phone
- (909) 558-6641
- Fax
- (909) 558-6039
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
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.
-
- Family Medicine Physician
- Coeur D Alene, ID
- NPI 1821312356
Family Medicine, ID
-
- Critical Access Hospital
- Blue Earth, MN
- NPI 1952307688
Family Medicine, MN
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bonners Ferry, ID
- NPI 1679621098
Family Medicine
-
- Rural Health Clinic/Center
- Bonners Ferry, ID
- NPI 1801273552
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Health Network
Practice addresses (Care Compare)
1430 N Hwy
Jackson, MN 56143-1093
Phone (507) 847-2200
Hospital & facility affiliations
- Sanford Jackson Medical Center
- Windom Area Health
- Sanford Worthington Medical Center
- Sanford Usd Medical Center
- United Hospital District
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, ID, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080807000118 | MN | Practitioner - Family Practice | 9234104910 | Reassigns benefits to 8 organizations |
| I20180711000474 | ID | Practitioner - Family Practice | 9234104910 | Reassigns benefits to 2 organizations |
| I20251006002182 | TN | Practitioner - Family Practice | 9234104910 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.083971-I | OH | MD | Emergency Medicine Physician |
| 35083971 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DX Mso, PLLC | Current | Accepting new patients | |
| Sanford Health Network | Family Medicine | Current | Accepting new patients |
| Boundary Community Hospital | Family Medicine | Current | Accepting new patients |
| Kootenai Urgent Care LLC | Family Medicine | Current | Accepting new patients |
| Windom Area Hospital | Current | Accepting new patients | |
| Kootenai Urgent Care LLC | Family Medicine | Current | Accepting new patients |
| Sanford Health Network | Current | Accepting new patients | |
| Boundary Community Hospital | Current | Accepting new patients | |
| Sanford Health Network | Emergency Medicine | Current | Accepting new patients |
| Sanford Health Network | Current | Accepting new patients | |
| Boundary Community Hospital | Current | Accepting new patients | |
| CCM Health | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Windom Area Hospital | Current | Accepting new patients | |
| United Hospital District Inc. | Family Medicine | Current | Accepting new patients |
| CCM Health | Past | Accepting new patients | |
| Kootenai Health, Inc. | Emergency Medicine | Past | Accepting new patients |
| Emergency Physicians of Northwest Ohio Inc. | Emergency Medicine | Past | Accepting new patients |
| Kootenai Health, Inc. | Past | Accepting new patients | |
| United Hospital District Inc. | Past | Accepting new patients | |
| Midwest Emergency Associates-Sylvania, LLC | Emergency Medicine | Past | Accepting new patients |
| Observation Physicians of Northwest Ohio LLC | Emergency Medicine | Past | Accepting new patients |
| Midwest Emergency Management Ohio, Inc | Emergency Medicine | Past | Accepting new patients |
| Tiffin Emergency Services, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141
700 W Ironwood Dr
Ste 220
Coeur D Alene, ID 83814
Phone (208) 765-4961
700 W Ironwood Dr
Ste 120E
Coeur D Alene, ID 83814
Phone (208) 625-3640
700 W Ironwood Dr
Ste 120
Coeur D Alene, ID 83814
Phone (208) 625-3640
515 S Moore St
Blue Earth, MN 56013
Phone (507) 526-3273
1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200
1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476
824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877
2042 Juniper Ave
Slayton, MN 56172
Phone (507) 836-1227
249 5th St E
Tracy, MN 56175
Phone (507) 629-3520
2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618
1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100
700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426
170 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 458-1426
1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990
Interoperability endpoints
- rissa627424@direct.multicare.org
- rissa482445@direct.centracare.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34.083971-I | OH | |
| Family Medicine Physician | 207Q00000X | 35083971 | OH | |
| Family Medicine Physician | 207Q00000X | C130915 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
25333 Barton Rd
Loma Linda, CA 92350-0210
Mailing address
File # 54701
Los Angeles, CA 90074-4701
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000389552 | Other | OH | ANTHEM |
| 1891748836 | Other | CA | NPI |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2015.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1891748836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE # 54701",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900744701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25333 BARTON RD",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923500210",
"telephone_number": "909-558-6641",
"fax_number": "909-558-6039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISSA",
"first_name": "RAMON",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34.083971-I",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35083971",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C130915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000389552",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1891748836",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.