Physician Compare National (NPI:1285644286)

HEALTHCARE PROVIDER: ERNEST F RIBERA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1285644286
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8628107323
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101202000259
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RIBERA
	Individual professional last name
Provider First Name	ERNEST
	Individual professional first name
Provider Middle Name	F
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1720 EL CAMINO REAL
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 155
	Group Practice or individual's line 2 address
City	BURLINGAME
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	940103231
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6503426506
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PENINSULA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y