Individual provider Active NPI

Ronald L Kaufman, MD

  • Rheumatology Physician
  • Santa Ana, CA
National Provider Identifier
1053302000
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A25353 Issued in CA
Practice address
3 Imperial Promenade
Ste 300
Santa Ana, CA 92707-5908
Phone
(714) 428-6812
Fax
(714) 242-7640
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A25353 CA Primary

Addresses

Primary practice location

3 Imperial Promenade
Ste 300
Santa Ana, CA 92707-5908

Mailing address

3 Imperial Promenade
Ste 300
Santa Ana, CA 92707-5908
Phone (714) 428-6812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A25353CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emanuel Medical Group, Inc. Current Accepting new patients
Central Coast Healthcare, a Professional Medical Corp Rheumatology Current Accepting new patients
Central Coast Health Care, Inc. Current Accepting new patients

Organizations & group practices 3

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1053302000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 IMPERIAL PROMENADE",
            "address_2": "STE 300",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075908",
            "telephone_number": "714-428-6812",
            "fax_number": "714-242-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 IMPERIAL PROMENADE",
            "address_2": "STE 300",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075908",
            "telephone_number": "714-428-6812",
            "fax_number": "714-242-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "RONALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A25353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.