Organization Active NPI

Ronald a Kalayta Medical Corporation

  • Ophthalmology Physician
  • Yuba City, CA
National Provider Identifier
1154690774
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G228240 Issued in CA
Legal business name
RONALD A KALAYTA MEDICAL CORPORATION
Practice address
901 Maple Ave
Yuba City, CA 95991-3323
Phone
(530) 674-8170
Fax
(530) 674-5728
NPI assigned
Dec 28, 2011
Last updated
Oct 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Dr. Ronald A Kalayta, M.D.NPI 1316932452
Title
Owner
Phone
(530) 674-8170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G228240 CA Primary

Addresses

Primary practice location

901 Maple Ave
Yuba City, CA 95991-3323

Mailing address

901 Maple Ave
Yuba City, CA 95991-3323
Phone (530) 674-8170

Other identifiers 2

IdentifierTypeStateIssuer
00G228240OtherCAMEDICARE ID-TYPE UNSPECIFIED
00G228240MedicaidCA

National Provider Directory

National Provider Directory

Locations

901 Maple Ave
Yuba City, CA 95991
Phone (530) 674-8170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1154690774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MAPLE AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913323",
            "telephone_number": "530-674-8170",
            "fax_number": "530-674-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MAPLE AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913323",
            "telephone_number": "530-674-8170",
            "fax_number": "530-674-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD A KALAYTA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "KALAYTA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-674-8170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G228240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "00G228240",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G228240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.