Ronald Shigematsu

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G51244 Issued in CA

Legal business name

RONALD SHIGEMATSU

Practice address

1245 Wilshire Blvd Ste 680
Los Angeles, CA 90017-4880

Phone

(213) 628-1020

NPI assigned

Apr 11, 2008

Organization subpart

No

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

Authorized official

Name

Ronald Shigematsu, MD

Title

Owner

Phone

(213) 628-1020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sumi Karen Kawaratani, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1851460893
  NPD (past)

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1114190907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 680",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174880",
            "telephone_number": "213-628-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 680",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174880",
            "telephone_number": "213-628-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD SHIGEMATSU",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIGEMATSU",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-628-1020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G51244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0045240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Reagan UCLA Medical Center
• Ronald Reagan UCLA Medical Center
• Ronald S Kvitne MD Inc
• Ronald S. Leuchter MD Inc
• Ronald Seymour Weaver MD Inc
• Kimberly Diane Ronan
• Lindsey Ronan, AGACNP
• Molly Ronan, CRNA
• Maria Elena Rondon, L.AC
• David Rondthaler

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.