Jury Oclarit Ronquillo, FNP

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

95002787 Issued in CA

Practice address

1085 N Harbor Blvd
Anaheim, CA 92801-2417

Phone

(714) 774-7777

Fax

(714) 399-4135

NPI assigned

Aug 14, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Cedars Towers Surgical Medical Group

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1881633287
  NPD (past)

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1114393022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7077 MONROE AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203823",
            "telephone_number": "917-359-0858",
            "fax_number": "714-723-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 N HARBOR BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012417",
            "telephone_number": "714-774-7777",
            "fax_number": "714-399-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONQUILLO",
        "first_name": "JURY",
        "middle_name": "OCLARIT",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "95002787",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "723534",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Allen Romo
• Shirley Matias Romulo, LCSW
• Ronald Bangsil MD PC
• Ronald F Young Medical Corporation
• Jenna Rones
• Brianna Rosal
• Johanna Rosales
• Jorge Sebastian Rosales I
• Rosalia Osias MD Inc
• Paul Christopher Rosandich, MD

• General Practice Registered Nurse in Anaheim, CA
• Providers in Anaheim, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.