NPIMap

Individual provider Active NPI

Ronna Simin Parsa, D.O.

  • Orthopaedic Surgery Physician
  • Redondo Beach, CA
National Provider Identifier
1205133279
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20A15524 Issued in CA
Practice address
510 N Prospect Ave Ste 105
Redondo Beach, CA 90277-3030
Phone
(310) 372-4646
Fax
(310) 798-4667
NPI assigned
Feb 27, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS13769 FL
Orthopaedic Surgery Physician 207X00000X 20A15524 CA Primary

Addresses

Primary practice location

510 N Prospect Ave Ste 105
Redondo Beach, CA 90277-3030

Mailing address

510 N Prospect Ave Ste 105
Redondo Beach, CA 90277-3030
Phone (310) 372-4646

Other identifiers 5

IdentifierTypeStateIssuer
P01696203OtherMEDICARE RAILROAD
4809305OtherFLCIGNA
K75WVOtherFLFLORIDA BLUE
593-20159OtherALBCBS OF ALABAMA
187776MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15524CAMDClinical Social Worker
20A15524CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Beach Surgical Institute LLC Current Accepting new patients
Long Beach Prime Medical Group Inc Orthopaedic Surgery Past Accepting new patients
Glendale Fidelity Medical Group Inc Orthopaedic Surgery Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1298764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205133279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N PROSPECT AVE STE 105",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773030",
            "telephone_number": "310-372-4646",
            "fax_number": "310-798-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N PROSPECT AVE STE 105",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773030",
            "telephone_number": "310-372-4646",
            "fax_number": "310-798-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSA",
        "first_name": "RONNA",
        "middle_name": "SIMIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS13769",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A15524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01696203",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4809305",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "K75WV",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "593-20159",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187776",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.