Active NPI
Ralph E Conner III, DO
- Emergency Medicine Physician
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20A6547
- Practice address
- 3350 W Ball Rd
Anaheim, CA 92804-3710 - Phone
- (714) 220-4533
- Fax
- (818) 587-2493
- NPI assigned
- Jul 26, 2006
- Last updated
- Dec 2, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 20A6547 | CA | Primary |
Addresses
Primary practice location
3350 W Ball Rd
Anaheim, CA 92804-3710
Mailing address
PO Box 4419
Woodland Hills, CA 91365-4419
Phone (818) 340-9988
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020A65470 | Other | CA | BLUE SHIELD |
| 00AX65470 | Medicaid | CA |
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
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- College of Osteo Med of the Pacific at Pomona, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone (626) 573-2222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anaheim Emergency Medical Group | Emergency Medicine | Current | Accepting new patients |
| Montclair Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Gem Medical Group Corporation | Emergency Medicine | Current | Accepting new patients |
| Gem Medical Group Corporation | Emergency Medicine | Current | Accepting new patients |
| San Dimas Emergency Medical Associates Inc. | Emergency Medicine | Current | Accepting new patients |
| Spectrum Emergency Physicians Group Inc. | Emergency Medicine | Current | Accepting new patients |
| Ralph E Conner D.O. Inc | Past | Accepting new patients |
Locations
1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450
5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111
525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222
900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450
Dept LA 25308
Pasadena, CA 91185
1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745
1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916
9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565
4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Whittier, CA
- NPI 1689364721
-
- Emergency Medicine Physician
- Anaheim, CA
- NPI 1114626017
-
- Emergency Medicine Physician
- Montclair, CA
- NPI 1316044696
-
- Emergency Medicine Physician
- San Dimas, CA
- NPI 1720239460
-
- Emergency Medicine Physician
- Anaheim, CA
- NPI 1831783729
-
dba GEM Medical Group
- Emergency Medicine Physician
- Monterey Park, CA
- NPI 1689386815
-
- Urgent Care Clinic/Center
- Santa Fe Springs, CA
- NPI 1346392875
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Garfield Medical Center
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
dba San Dimas Community Hospital
- General Acute Care Hospital
- San Dimas, CA
- NPI 1740447945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1114941812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4419",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913654419",
"telephone_number": "818-340-9988",
"fax_number": "818-587-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 W BALL RD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043710",
"telephone_number": "714-220-4533",
"fax_number": "818-587-2493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "RALPH",
"middle_name": "E",
"name_suffix": "III",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A6547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "020A65470",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX65470",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.