Active NPI
Ronald M. Israel, M.D.
- Dermatology Physician
- Santa Cruz, CA
National Provider Identifier
1023142015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- CFE25946
- Practice address
- 3 Kite Hill Rd
Santa Cruz, CA 95060-1418 - Phone
- (831) 429-1429
- Fax
- (831) 429-5580
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | CFE25946 | CA | Primary |
Addresses
Primary practice location
3 Kite Hill Rd
Santa Cruz, CA 95060-1418
Mailing address
3 Kite Hill Rd
Santa Cruz, CA 95060-1418
Phone (831) 429-1429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CFE25946 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023142015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 KITE HILL RD",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950601418",
"telephone_number": "831-429-1429",
"fax_number": "831-429-5580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 KITE HILL RD",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950601418",
"telephone_number": "831-429-1429",
"fax_number": "831-429-5580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISRAEL",
"first_name": "RONALD",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "CFE25946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.