Individual provider Active NPI

Ronnie Ryan Cummings, M.D.

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1255537940
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A93095 Issued in CA
Practice address
490 Post St Ste 1043
San Francisco, CA 94102-1301
Phone
(925) 282-1778
NPI assigned
Jun 21, 2007
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A93095 CA Primary

Addresses

Primary practice location

490 Post St Ste 1043
San Francisco, CA 94102-1301

Mailing address

490 Post St Ste 1043
San Francisco, CA 94102-1301
Phone (925) 282-1778

Other practice location 1

701 S Parker St Ste 2800
Orange, CA 92868-4720
Phone (925) 282-1778

Other practice location 2

100 Howe Ave Ste 170N
Sacramento, CA 95825-8241
Phone (925) 282-1778

Other practice location 3

6200 Wilshire Blvd Ste 1410
Los Angeles, CA 90048-5815
Phone (925) 282-1778

Other practice location 4

2080 S E St Ste 250
San Bernardino, CA 92408-2706
Phone (909) 433-9300

Other practice location 5

29982 Ivy Glenn Dr Ste 203
Laguna Niguel, CA 92677-2097
Phone (949) 309-7903

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
I20051222000722 CA Practitioner - Psychiatry 1355363938 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, San Diego School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of StanislausGroup PAC ID 0648183996, 19 clinicians
Integrative Psychiatry a Medical CorporationGroup PAC ID 4587057286, 8 clinicians
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

121 Downey Ave
Modesto, CA 95354-1208
Phone (209) 341-1824

29982 Ivy Glenn Dr
Suite 203
Laguna Niguel, CA 92677-2097
Phone (949) 309-7903

490 Post St
San Francisco, CA 94102-1301
Phone (925) 282-1778

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93095CAMDClinical Social Worker
A93095CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc Psychiatry CurrentSince Sep 14, 2024 Accepting new patients
Telecare Mental Health Services of Arizona, Inc CurrentSince Feb 1, 2020 Accepting new patients
Traditions Psychiatry Group, P.C Psychiatry CurrentSince Mar 24, 2011 Accepting new patients
County of Orange CurrentSince Oct 19, 2012 Accepting new patients
Telecare Corporation CurrentSince Jan 23, 2011 Accepting new patients
County of Orange CurrentSince Oct 19, 2012 Accepting new patients
Telecare Corporation Current Accepting new patients
Integrative Psychiatry a Medical Corporation Psychiatry CurrentSince Nov 19, 2022 Accepting new patients
Telecare Corporation CurrentSince Jan 23, 2011 Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

2365 Iron Point Rd
Ste 210
Folsom, CA 95630
Phone (925) 360-5264

4040 Barranca Pkwy
Ste 260
Irvine, CA 92604

999 Corporate Dr
Ste 100
Ladera Ranch, CA 92694
Phone (619) 250-0142

29982 Ivy Glenn Dr
Ste 203
Laguna Niguel, CA 92677
Phone (949) 309-7903

6060 N Paramount Blvd
Long Beach, CA 90805
Phone (562) 630-8672

6200 Wilshire Blvd
Ste 1410
Los Angeles, CA 90048
Phone (323) 403-0474

23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940

121 Downey Ave
Modesto, CA 95354
Phone (209) 341-1824

280 17th St
Oakland, CA 94612
Phone (510) 238-5020

701 S Parker St
Ste 2800
Orange, CA 92868

100 Howe Ave
Ste 170N
Sacramento, CA 95825
Phone (415) 296-5100

2080 S E St
Ste 250
San Bernardino, CA 92408
Phone (909) 383-1073

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

327 College Ave
Santa Rosa, CA 95401
Phone (707) 568-2800

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.ronniecummings@148377.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1255537940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 POST ST STE 1043",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021301",
            "telephone_number": "925-282-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 POST ST STE 1043",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021301",
            "telephone_number": "925-282-1778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 S Parker St Ste 2800",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684720",
            "country_code": "US",
            "telephone_number": "925-282-1778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Howe Ave Ste 170N",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958258241",
            "country_code": "US",
            "telephone_number": "925-282-1778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 Wilshire Blvd Ste 1410",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485815",
            "country_code": "US",
            "telephone_number": "925-282-1778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2080 S E St Ste 250",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924082706",
            "country_code": "US",
            "telephone_number": "909-433-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29982 Ivy Glenn Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926772097",
            "country_code": "US",
            "telephone_number": "949-309-7903",
            "fax_number": "949-716-5243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "RONNIE",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A93095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.