Organization Active NPI

Ronald R. Yamada, M.D., Inc

  • Orthopaedic Surgery Physician
  • Manteca, CA
National Provider Identifier
1164475109
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G30653 Issued in CA
Legal business name
RONALD R. YAMADA, M.D., INC
Practice address
1234 E North St
Suite 103
Manteca, CA 95336-4960
Phone
(209) 824-8111
Fax
(209) 824-8200
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald R. Yamada, M.D.
Title
Owner
Phone
(209) 824-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X G30653 CA Primary

Addresses

Primary practice location

1234 E North St
Suite 103
Manteca, CA 95336-4960

Mailing address

1234 E North St
Suite 103
Manteca, CA 95336-4960
Phone (209) 824-8111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164475109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 E NORTH ST",
            "address_2": "SUITE 103",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364960",
            "telephone_number": "209-824-8111",
            "fax_number": "209-824-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 E NORTH ST",
            "address_2": "SUITE 103",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364960",
            "telephone_number": "209-824-8111",
            "fax_number": "209-824-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD R. YAMADA, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAMADA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-824-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G30653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.