Individual provider Active NPI

Ronald W Strahan, MD

  • Specialist
  • Santa Monica, CA
National Provider Identifier
1023214954
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C28592 Issued in CA
Practice address
1260 15TH St
Suite 600
Santa Monica, CA 90404-1135
Phone
(310) 394-0500
Fax
(310) 471-5788
NPI assigned
Jun 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Specialist 174400000X C28592 CA Primary

Addresses

Primary practice location

1260 15TH St
Suite 600
Santa Monica, CA 90404-1135

Mailing address

289 N Tigertail Rd
Los Angeles, CA 90049-2803
Phone (310) 925-6425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210521001375 CA Order and Referring Only - OtolaryngologyPractitioner - Otolaryngology 7719386812

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C28592CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023214954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 N TIGERTAIL RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492803",
            "telephone_number": "310-925-6425",
            "fax_number": "310-472-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 15TH ST",
            "address_2": "SUITE 600",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041135",
            "telephone_number": "310-394-0500",
            "fax_number": "310-471-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAHAN",
        "first_name": "RONALD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C28592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.