Active NPI
Ronalie Baldovino, OD
- Optometrist
- Long Beach, CA
National Provider Identifier
1184320335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35382
- Practice address
- 5531 E Stearns St Ste a
Long Beach, CA 90815-3125 - Phone
- (562) 596-3838
- NPI assigned
- Jan 31, 2023
- Last updated
- Jun 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35382 | CA | Primary |
Addresses
Primary practice location
5531 E Stearns St Ste a
Long Beach, CA 90815-3125
Mailing address
12222 Dune St
Norwalk, CA 90650-2058
Phone (562) 277-2677
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35382 | CA | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bunthay Chorn OD Inc | Optometrist | Current | Accepting new patients |
| Sam M Otsuji | Optometrist | Past | Accepting new patients |
Locations
5531 E Stearns St
#A
Long Beach, CA 90815
Phone (562) 596-3838
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.
-
- Optometrist
- Whittier, CA
- NPI 1013297944
-
- Optometrist
- Whittier, CA
- NPI 1467738112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1184320335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12222 DUNE ST",
"city": "NORWALK",
"state": "CA",
"postal_code": "906502058",
"telephone_number": "562-277-2677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5531 E STEARNS ST STE A",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908153125",
"telephone_number": "562-596-3838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDOVINO",
"first_name": "RONALIE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-31",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.