Active NPI
Ron Frank Poli, P.A.
- Medical Physician Assistant
- Anderson, CA
National Provider Identifier
1285839449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 2760 N. Balls Ferry Rd.
Anderson, CA 96007-3537 - Phone
- (530) 365-4412
- Fax
- (530) 365-5186
- NPI assigned
- Jun 18, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 12356 | CA | |
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
2760 N. Balls Ferry Rd.
Anderson, CA 96007-3537
Mailing address
2760 N. Balls Ferry Rd.
Anderson, CA 96007-3537
Phone (530) 365-4412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 12356 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shasta Regional Medical Group, Inc | Current | Accepting new patients | |
| County of Butte | Current | Accepting new patients | |
| County of Butte | Current | Accepting new patients | |
| Orna Gil MD Inc | Current | Accepting new patients | |
| Rolling Hills Clinic | Past | Accepting new patients | |
| Gateway Medical Center Inc | Past | Accepting new patients | |
| John R. Munro M.D. | Past | Accepting new patients |
Locations
3217 Cohasset Rd
Cohasset, CA 95973
Phone (530) 552-4578
995 Spruce St
Gridley, CA 95948
Phone (530) 846-7305
1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940
1100 Butte St
Redding, CA 96001
Phone (530) 227-6361
Interoperability endpoints
- ron.poli.p3@direct.smmg.nextgenshare.com
- ron.polipa.p1@direct.schc.nextgenshare.com
Organizations & group practices 11
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.
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- Hospitalist Physician
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- Mental Health Clinic/Center (Including Community Mental Health Center)
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- Adult Mental Health Clinic/Center
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-
- Obstetrics & Gynecology Physician
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-
- General Practice Physician
- Anderson, CA
- NPI 1275685414
-
- Family Medicine Physician
- Anderson, CA
- NPI 1568644755
-
- Federally Qualified Health Center (FQHC)
- Red Bluff, CA
- NPI 1679988950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1285839449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 N. BALLS FERRY RD.",
"city": "ANDERSON",
"state": "CA",
"postal_code": "960073537",
"telephone_number": "530-365-4412",
"fax_number": "530-365-5186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 N. BALLS FERRY RD.",
"city": "ANDERSON",
"state": "CA",
"postal_code": "960073537",
"telephone_number": "530-365-4412",
"fax_number": "530-365-5186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLI",
"first_name": "RON",
"middle_name": "FRANK",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 12356",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.