Ronald Jay Edelson, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G59765 Issued in CA

Practice address

9339 Genesee Ave Ste P39
San Diego, CA 92121-2120

Phone

(858) 452-9900

Fax

(858) 455-1287

NPI assigned

Sep 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: redelson42888@scrippshlth.medalliesdirect.net

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.

• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295832152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9339 GENESEE AVE STE P39",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212120",
            "telephone_number": "858-452-9900",
            "fax_number": "858-455-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9339 GENESEE AVE STE P39",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212120",
            "telephone_number": "858-452-9900",
            "fax_number": "858-455-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELSON",
        "first_name": "RONALD",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G59765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G597650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Edelman
• Christina Booth Edelman, CNM, WHNP
• Ingrid Kruse Edelman, DPM
• Joni Edelman, LMFT
• Steven V Edelman, M.D.
• Aaron Geoffrey Edelstein, M.D.
• Eden Plaza Optometry
• Bruce L. Edens, MD
• Leanna Ederer
• Guadalupe Managuit Edgar

• Plastic Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.