Individual provider Active NPI

Ricardo Barraza Ronquillo, MD

  • Anesthesiology Physician
  • Stanford, CA
National Provider Identifier
1932132974
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G76604 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(408) 558-2100
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G76604 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200

Other identifiers 1

IdentifierTypeStateIssuer
00G766404MedicaidCA

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
I20101216000629 CA Practitioner - Anesthesiology 0042408114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Stanford University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G2 Anesthesia PCGroup PAC ID 3375873599, 104 clinicians

Practice addresses (Care Compare)

3370 Geary Blvd
San Francisco, CA 94118-3324
Phone (415) 379-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G76604CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Dec 1, 2014 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
G2 Anesthesia PC Anesthesiology CurrentSince Oct 25, 2019 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Dec 1, 2014 Accepting new patients
Joan Oloff D P M Inc Past Accepting new patients
Stanford Health Care Anesthesiology Past Accepting new patients
Antelope Valley Health Care District Past Accepting new patients
Group Anesthesia Services Inc., a Medical Corporation Anesthesiology Past Accepting new patients
County of Santa Clara Past Accepting new patients
Forest Anesthesia Medical Group Inc Anesthesiology Past Accepting new patients

Locations (25 of 31)

3351 El Camino Real
Ste 220
Atherton, CA 94027
Phone (650) 363-2800

1720 El Camino Real
Ste 100
Burlingame, CA 94010
Phone (650) 259-5300

3803 S Bascom Ave
Ste 100
Campbell, CA 95008
Phone (408) 559-7177

2605 S Winchester Blvd
Campbell, CA 95008
Phone (401) 341-8600

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

3803 S Bascom Ave
Ste 204
Campbell, CA 95008
Phone (408) 559-8658

3803 S Bascom Ave
Ste 106
Campbell, CA 95008
Phone (408) 249-3840

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

4756 El Camino Real
Los Altos, CA 94022
Phone (650) 445-4724

15047 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 356-2774

15195 National Ave
Ste 207
Los Gatos, CA 95032
Phone (408) 356-0431

15780 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 358-5000

14601 S Bascom Ave
Ste 100
Los Gatos, CA 95032
Phone (408) 358-6815

14830 Los Gatos Blvd
Ste 200
Los Gatos, CA 95032
Phone (408) 377-5556

15195 National Ave
Ste 100
Los Gatos, CA 95032
Phone (408) 356-0454

15195 National Ave
Ste 204
Los Gatos, CA 95032
Phone (408) 356-0988

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

400 Forest Ave
Palo Alto, CA 94301
Phone (650) 289-1208

101 Addison Ave
Palo Alto, CA 94301
Phone (650) 433-8621

3468 California St
San Francisco, CA 94118
Phone (415) 345-0100

3370 Geary Blvd
San Francisco, CA 94118
Phone (415) 379-7500

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

2110 Forest Ave
Ste 2
San Jose, CA 95128
Phone (408) 297-3432

2400 Samaritan Dr
Ste 206
San Jose, CA 95124
Phone (408) 369-9300

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1932132974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "408-558-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONQUILLO",
        "first_name": "RICARDO",
        "middle_name": "BARRAZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G76604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G766404",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.