Individual provider Active NPI

Ronald Dan Bogoian, DPM

  • Foot & Ankle Surgery Podiatrist
  • Santa Paula, CA
National Provider Identifier
1134316870
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4714 Issued in CA
Practice address
255 March St
Santa Paula, CA 93060-2511
Phone
(805) 525-5415
Fax
(805) 525-0448
NPI assigned
Sep 26, 2007
Last updated
Feb 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4714 CA Primary

Addresses

Primary practice location

255 March St
Santa Paula, CA 93060-2511

Mailing address

255 March St
Santa Paula, CA 93060-2511
Phone (805) 525-5415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4714CAMDLicensed Practical Nurse
E4714CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System Past Accepting new patients
Community Memorial Health System Past Accepting new patients
Neurological Associates of North Texas PastSince Jul 12, 2018 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7875/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1134316870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 MARCH ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602511",
            "telephone_number": "805-525-5415",
            "fax_number": "805-525-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 MARCH ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602511",
            "telephone_number": "805-525-5415",
            "fax_number": "805-525-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGOIAN",
        "first_name": "RONALD",
        "middle_name": "DAN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.