Individual provider Active NPI

Raymundo P Punzalan, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Pleasanton, CA
National Provider Identifier
1194721373
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A50049 Issued in CA
Practice address
5725 W Las Positas Blvd Ste 110
Pleasanton, CA 94588-4016
Phone
(925) 463-1400
NPI assigned
Jun 22, 2005
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A50049 CA Primary

Addresses

Primary practice location

5725 W Las Positas Blvd Ste 110
Pleasanton, CA 94588-4016

Mailing address

5725 W Las Positas Blvd Ste 110
Pleasanton, CA 94588-4016

Other practice location 1

250 N Robertson Blvd Ste 600
Beverly Hills, CA 90211-1771
Phone (310) 385-3330

Other practice location 2

7085 N Chestnut Ave
Sutie 101
Fresno, CA 93720-0353
Phone (559) 323-9236

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070615000407 CA Practitioner - Internal MedicinePractitioner - Endocrinology 8022117050 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redding RancheriaGroup PAC ID 7810969847, 32 clinicians

Practice addresses (Care Compare)

1441 Liberty St
Redding, CA 96001-0811
Phone 53022427001740

3305 Placer St
Suite B
Redding, CA 96001-2378
Phone (530) 225-6805

480 1St Ave
Portola, CA 96122-9405
Phone (530) 832-6600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A50049CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Plumas Health Care Home Health CurrentSince Aug 1, 2021 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Redding Rancheria CurrentSince Oct 14, 2024 Accepting new patients
Eastern Plumas Health Care District CurrentSince Aug 1, 2021 Accepting new patients
Permanente Medical Group, Inc CurrentSince May 22, 2023 Accepting new patients
Permanente Medical Group Inc CurrentSince May 22, 2023 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Redding Rancheria CurrentSince Oct 14, 2024 Accepting new patients
Eastern Plumas Health Care District CurrentSince Dec 5, 2025 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

480 1st Ave
Portola, CA 96122
Phone (530) 832-6600

500 1st Ave
Portola, CA 96122
Phone (530) 832-4277

1441 Liberty St
Redding, CA 96001
Phone (530) 224-2700

3184 Churn Creek Rd
Redding, CA 96002
Phone (530) 224-2700

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

1600 Eureka Rd
Roseville, CA 95661
Phone (916) 474-7777

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

4174 Ashby Ct
Shasta Lake, CA 96019
Phone (530) 224-2700

1901 N California St
Stockton, CA 95204
Phone (209) 946-6800

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

782 E Harding Way
Stockton, CA 95204
Phone (209) 475-5500

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

81 Arbuckle Ct
Weaverville, CA 96093
Phone (530) 623-0021

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1194721373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 W LAS POSITAS BLVD STE 110",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 W LAS POSITAS BLVD STE 110",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884016",
            "telephone_number": "925-463-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 N Robertson Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111771",
            "country_code": "US",
            "telephone_number": "310-385-3330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7085 N Chestnut Ave",
            "address_2": "Sutie 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937200353",
            "country_code": "US",
            "telephone_number": "559-323-9236",
            "fax_number": "559-323-0294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUNZALAN",
        "first_name": "RAYMUNDO",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A50049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.