Organization Active NPI

Optima Medical Associates, LTD.

  • Primary Care Clinic/Center
  • Joliet, IL
National Provider Identifier
1164698015
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
042007451 Issued in IL
Legal business name
OPTIMA MEDICAL ASSOCIATES, LTD.
Practice address
1050 Essington Rd
Joliet, IL 60435-8415
Phone
(815) 729-0129
Fax
(815) 730-4732
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Dr. Brian Ragona I, M.D.NPI 1992701015
Title
MD
Phone
(815) 729-0129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 042007451 IL Primary

Addresses

Primary practice location

1050 Essington Rd
Joliet, IL 60435-8415

Mailing address

1050 Essington Rd
Joliet, IL 60435-8415
Phone (815) 729-0129

Other names 1

  • Optima Medical Associates, Ltd. Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1164698015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358415",
            "telephone_number": "815-729-0129",
            "fax_number": "815-730-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358415",
            "telephone_number": "815-729-0129",
            "fax_number": "815-730-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA MEDICAL ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "RAGONA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "815-729-0129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "042007451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optima Medical Associates, Ltd.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.