Individual provider Active NPI

Ronald Paul Kleinman, OD

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1164533360
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7101T Issued in CA
Practice address
237 N Western Ave
Los Angeles, CA 90004
Phone
(323) 469-1929
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7101T CA Primary

Addresses

Primary practice location

237 N Western Ave
Los Angeles, CA 90004

Mailing address

4251 Freedom Dr Apt 602
Calabasas, CA 91302-5124
Phone (818) 222-7563

Other practice location 1

14449 Roscoe Blvd
Panorama City, CA 91402-3012
Phone (818) 894-9582

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040217001037 CA Practitioner - Optometry 6800781048 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7101TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald P. Kleinman O.D. a Professional Corporation CurrentSince Oct 6, 2021 Accepting new patients
Santa Ana Clinica Medica General Medical Center Inc. PastSince Apr 28, 2003 Accepting new patients
East Los Angeles Clinica Medica General Medical Center Inc Past Accepting new patients
Western Optometric Center Inc Optometrist PastSince Aug 6, 2023 Accepting new patients
Cedars Towers Surgical Medical Group Past Accepting new patients

Locations

14449 Roscoe Blvd
Panorama City, CA 91402
Phone (818) 894-9582

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1164533360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 FREEDOM DR APT 602",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025124",
            "telephone_number": "818-222-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 N WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90004",
            "telephone_number": "323-469-1929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14449 Roscoe Blvd",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914023012",
            "country_code": "US",
            "telephone_number": "818-894-9582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEINMAN",
        "first_name": "RONALD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7101T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.