Frantz J Derenoncourt Sr., MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

G54662 Issued in CA

Practice address

655 Euclid Avenue
Suite 405
National City, CA 91950

Phone

(619) 267-2910

Fax

(619) 267-7786

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194736884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVENUE",
            "address_2": "SUITE 405",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "91950",
            "telephone_number": "619-267-2910",
            "fax_number": "619-267-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVENUE",
            "address_2": "SUITE 405",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "91950",
            "telephone_number": "619-267-2910",
            "fax_number": "619-267-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERENONCOURT",
        "first_name": "FRANTZ",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G54662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G546621",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Diane Delaney
• Lorna Delos Santos
• Jadeene Alarcon Delosreyes
• Deluxe Medical Supply, LLC
• Ryan Dempsey, L.AC
• Dhanani Corporation
• Sapna Dharkar Surber, FNP
• Matthew Joaquin Di Franco, M.D.
• Alyssa Monique Diaz
• Anthony Dicarlo, RN

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in National City, CA
• Providers in National City, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.