Ronald Max Frug, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A20789 Issued in CA

Practice address

17815 Newhope Street
Suite S
Fountain Valley, CA 92708

Phone

(714) 431-0303

Fax

(714) 431-0393

NPI assigned

Oct 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Practice roles

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.

• Newhope Imaging Center LLC

  • Diagnostic Radiology Physician
  • Fountain Valley, CA
  • NPI 1639163991
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285722488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 9089",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92728",
            "telephone_number": "714-431-0303",
            "fax_number": "714-431-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17815 NEWHOPE STREET",
            "address_2": "SUITE S",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-431-0303",
            "fax_number": "714-431-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUG",
        "first_name": "RONALD",
        "middle_name": "MAX",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A20789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A207890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fresh Start of Ca LLC
• Tammy Huynh Frey
• Bruce F Friedman, MD
• Jay P Friehling, M.D.
• Donna Fritz, LM, CPM
• Consuelo Futris
• FV Family Chiropractic
• FV Medical Supplies, Inc.
• FV Physical Medicine
• Douglas S Gahn, DC

• Diagnostic Radiology Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Diagnostic Radiology 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.