Individual provider Active NPI

Richard B Ganong

  • Internal Medicine Physician
  • Truckee, CA
National Provider Identifier
1932255403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G29712 Issued in CA
Practice address
10115 W River St
Truckee, CA 96161-0324
Phone
(530) 581-8864
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

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
Internal Medicine Physician 207R00000X G29712 CA Primary

Addresses

Primary practice location

10115 W River St
Truckee, CA 96161-0324

Mailing address

10115 W River St
Truckee, CA 96161-0324

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
I20081204000580 CA Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Emergency Medicine 8123066701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.06 of 100Reported as group
Quality
83.97
Promoting interoperability
88
Improvement activities
40
Cost
42.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G29712CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tahoe Forest Hospital District CurrentSince Jan 8, 2014 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp CurrentSince Nov 22, 2013 Accepting new patients
Tahoe Forest Hospital District CurrentSince Jan 8, 2014 Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Nov 22, 2013 Accepting new patients
Tahoe Forest Hospital District Past Accepting new patients
Truckee Tahoe Medical Group Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

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

10051 Lake Ave
Ste 3
Truckee, CA 96161
Phone (530) 587-7461

10956 Donner Pass Rd
Ste 110
Truckee, CA 96161
Phone (530) 581-8864

2104 N Village Dr
Ste L
Truckee, CA 96161
Phone (530) 582-6594

10956 Donner Pass Rd
Truckee, CA 96161
Phone (530) 581-8864

Interoperability endpoints

  • Direct secure messaging: rganong957761@directa.mercy.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932255403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 W RIVER ST",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 W RIVER ST",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610324",
            "telephone_number": "530-581-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANONG",
        "first_name": "RICHARD",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G29712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.