Ronald Milo Nelson, M.D.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

GFE8434 Issued in CA

Practice address

79720 Northwood
La Quinta, CA 92253-5000

Phone

(760) 771-2005

Fax

(760) 771-2106

NPI assigned

Dec 26, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1324857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324857600000",
    "number": "1265701973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79720 NORTHWOOD",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922535000",
            "telephone_number": "760-771-2005",
            "fax_number": "760-771-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79720 NORTHWOOD",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922535000",
            "telephone_number": "760-771-2005",
            "fax_number": "760-771-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RONALD",
        "middle_name": "MILO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-26",
        "last_updated": "2011-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "GFE8434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Vision, Inc.
• Natural Rest House Inc
• Naturally Speaking Therapy Corporation
• Scott David Neff, DC
• April Negrete-Castilla
• Heather Neubauer, SLPA
• Nexus Hospice of the Desert LLC
• Kelsey NG
• Andrew Hoang-Son Nguyen, D.O.
• Kimberly Nguyen

• Medical Specialty Clinic/Center in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.