Active NPI
Ronald Eric Glousman, M.D.
- Orthopaedic Surgery Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G45186
- Practice address
- 999 N Tustin Ave
Suite 114
Santa Ana, CA 92705-3528 - Phone
- (310) 659-9116
- Fax
- (866) 807-7466
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | G45186 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | G45186 | CA | Primary |
Addresses
Primary practice location
999 N Tustin Ave
Suite 114
Santa Ana, CA 92705-3528
Mailing address
PO Box 570627
Tarzana, CA 91357-0627
Phone (310) 659-9116
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald Glousman MD Medical Corporation | Neuromusculoskeletal Medicine, Sports Medicine | Current | Accepting new patients |
| Prime Healthcare Centinela, LLC | Past | Accepting new patients | |
| House Medicine | Past | Accepting new patients | |
| Anaheim Memorial Medical Center | Past | Accepting new patients |
Locations
8929 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 854-0283
5400 Balboa Blvd
Ste 111
Encino, CA 91316
Phone (818) 784-3125
4510 Brockton Ave
Ste 385
Riverside, CA 92501
Phone (714) 508-1981
2190 Market St
Ste A
Riverside, CA 92501
Phone (909) 824-2422
999 N Tustin Ave
Ste 114
Santa Ana, CA 92705
Phone (714) 508-1981
Interoperability endpoints
- ronald.glousman@3856.securemail.prognocis.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Santa Ana, CA
- NPI 1922421171
Neuromusculoskeletal Medicine, Sports Medicine
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
-
- Multi-Specialty Clinic/Center
- Alhambra, CA
- NPI 1578037115
-
- General Acute Care Hospital
- Inglewood, CA
- NPI 1336328244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1104897289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 570627",
"city": "TARZANA",
"state": "CA",
"postal_code": "913570627",
"telephone_number": "310-659-9116",
"fax_number": "866-807-7466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 N TUSTIN AVE",
"address_2": "SUITE 114",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053528",
"telephone_number": "310-659-9116",
"fax_number": "866-807-7466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOUSMAN",
"first_name": "RONALD",
"middle_name": "ERIC",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "G45186",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G45186",
"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 Sep 18, 2024; 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.