NPIMap

Individual provider Active NPI

Divine Ribakare, DO

  • Nephrology Physician
  • Monterey, CA
National Provider Identifier
1932441680
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
E-12366 Issued in AR
Practice address
2 Lower Ragsdale Dr Ste 260
Monterey, CA 93940-7869
Phone
(831) 717-1717
Fax
(831) 887-0202
NPI assigned
Mar 20, 2013
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34-011938 OH
Nephrology Physician 207RN0300X 25619 CA
Nephrology Physician 207RN0300X E-12366 AR Primary
Nephrology Physician 207RN0300X DO185961 OR

Addresses

Primary practice location

2 Lower Ragsdale Dr Ste 260
Monterey, CA 93940-7869

Mailing address

2 Lower Ragsdale Dr Ste 260
Monterey, CA 93940-7869
Phone (831) 717-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180619001697 OR Practitioner - Internal Medicine 0244531382 Reassigns benefits to 9 organizations
I20190821000825 AR Practitioner - Internal MedicinePractitioner - Nephrology 0244531382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Valley Healthcare IncGroup PAC ID 2769391523, 143 clinicians
Samaritan Pacific Health Services IncGroup PAC ID 2466353529, shared by 7 NPIs, 86 clinicians

Practice addresses (Care Compare)

100 Mullins Dr
Lebanon, OR 97355-2868

325 Park St
Lebanon, OR 97355-4229
Phone (541) 451-7200

400 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 451-6388

531 N Hwy 101
Depoe Bay, OR 97341-9572
Phone (541) 765-3265

675 N 5TH St
Lebanon, OR 97355-2875
Phone (541) 451-6282

930 SW Abbey St
Newport, OR 97365-4820

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-011938OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Healthcare CurrentSince Jul 1, 2018 Accepting new patients
Tuality Healthcare CurrentSince Jul 1, 2018 Accepting new patients
Tuality Medical Group LLC Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Albany General Hospital Current Accepting new patients
Samaritan Pacific Health Services, Inc Nephrology CurrentSince Nov 15, 2021 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Samaritan North Lincoln Hospital Nephrology CurrentSince Nov 15, 2021 Accepting new patients
Tuality Healthcare Current Accepting new patients
Albany General Hospital CurrentSince Nov 15, 2021 Accepting new patients
Samaritan North Lincoln Hospital Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jun 21, 2021 Accepting new patients
Albany General Hospital CurrentSince Nov 15, 2021 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jun 21, 2021 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Nov 15, 2021 Accepting new patients
Baptist Health Services Internal Medicine CurrentSince Jul 24, 2023 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 1, 2022 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Samaritan Pacific Health Services Inc CurrentSince Nov 15, 2021 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Nov 15, 2021 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Nov 15, 2021 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 1, 2022 Accepting new patients
Baptist Health Services Current Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients

Locations

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7245

1500 Dodson Ave
Ste 280
Fort Smith, AR 72901
Phone (479) 709-7480

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7303 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 274-4300

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

3615 NW Samaritan Dr
Ste 203
Corvallis, OR 97330
Phone (541) 768-6930

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

Interoperability endpoints

  • Direct secure messaging: dribakare215094@samhealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 24

Hospital & facility affiliations 78

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1932441680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LOWER RAGSDALE DR STE 260",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407869",
            "telephone_number": "831-717-1717",
            "fax_number": "831-887-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LOWER RAGSDALE DR STE 260",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407869",
            "telephone_number": "831-717-1717",
            "fax_number": "831-887-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBAKARE",
        "first_name": "DIVINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-011938",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "25619",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "E-12366",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "DO185961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.