Ronald Paul Baumgartner, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

231 W Parkwood Ave
La Habra, CA 90631-7222

Phone

(562) 360-7591

Fax

(213) 626-2512

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Beverly Urgent Care Inc

  • Urgent Care Clinic/Center
  • Montebello, CA
  • NPI 1467902106
  NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1104835404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W PARKWOOD AVE",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317222",
            "telephone_number": "562-360-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W PARKWOOD AVE",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317222",
            "telephone_number": "562-360-7591",
            "fax_number": "213-626-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARTNER",
        "first_name": "RONALD",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA 13047",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.A. LICENSE",
            "identifier": "PA13047",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denedria Renee Banks, LCSW
• Michael P Bantolo, P.T.
• Kenya Barajas Gracian
• Yvette Barraza-Reyes, PHD
• Jessica C Batiste
• Jaimee Beck
• Bennett a Weiner, OD
• Besafe Medical Supply LLC
• Janet Beshara
• Pauline Betancourt, MSW INTERN, B.S

• All providers in La Habra, CA
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.

Verify at the official NPI Registry.