Active NPI
Ronald George Dong, M.D.
- Otolaryngology Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G87118
- Practice address
- 10200 Trinity Pkwy Ste 201
Stockton, CA 95219-7288 - Phone
- (209) 952-0483
- Fax
- (209) 478-5785
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G87118 | CA | Primary |
Addresses
Primary practice location
10200 Trinity Pkwy Ste 201
Stockton, CA 95219-7288
Mailing address
1111 Exposition Blvd
BLDG 700
Sacramento, CA 95815-4314
Phone (916) 736-3408
Other practice location 1
801 S Ham Ln Ste O
Lodi, CA 95242-7502
Phone (209) 952-0483
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10200 Trinity Pkwy
Suite 201
Stockton, CA 95219-7288
Phone (209) 952-0483
Hospital & facility affiliations
- St Joseph'S Medical Center of Stockton
- Adventist Health Lodi Memorial
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.25 of 100
- Quality
- 51.19
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 61.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G87118 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacramento Ear Nose & Throat Surgical & Medical Group Inc | Otolaryngology | Current | Accepting new patients |
| Excell E.N.T. Medical Group, Inc. | Otolaryngology | Past | Accepting new patients |
| West Suburban Head and Neck Specialists,S.C. | Otolaryngology | Past | Accepting new patients |
Locations
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
801 S Ham Ln
Ste O
Lodi, CA 95242
Phone (209) 365-0526
1111 Exposition Blvd
Ste 700
Sacramento, CA 95815
Phone (916) 736-3399
1111 Exposition Blvd
Bldg 700
Sacramento, CA 95815
Phone (916) 736-3399
10200 Trinity Pkwy
Ste 201
Stockton, CA 95219
Phone (209) 952-0483
3132 W March Ln
Ste 2
Stockton, CA 95219
Phone (209) 478-1030
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rdong220387@hisp.ehr.sutterhealth.org
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Sacramento, CA
- NPI 1497758155
-
- Otolaryngology Physician
- Stockton, CA
- NPI 1871532887
-
- Surgery Physician
- Melrose Park, IL
- NPI 1619086824
Otolaryngology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lodi, CA
- NPI 1316938301
-
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1194764472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 EXPOSITION BLVD",
"address_2": "BLDG 700",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154314",
"telephone_number": "916-736-3408",
"fax_number": "916-233-4171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 TRINITY PKWY STE 201",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952197288",
"telephone_number": "209-952-0483",
"fax_number": "209-478-5785"
}
],
"practiceLocations": [
{
"address_1": "801 S Ham Ln Ste O",
"address_purpose": "LOCATION",
"city": "Lodi",
"state": "CA",
"postal_code": "952427502",
"country_code": "US",
"telephone_number": "209-952-0483",
"fax_number": "209-478-5785",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONG",
"first_name": "RONALD",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G87118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.