Individual provider Active NPI

Ronald J Oudiz, M.D.

  • Cardiovascular Disease Physician
  • Torrance, CA
National Provider Identifier
1316957228
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G70500 Issued in CA
Practice address
21840 Normandie Ave
Ste. 700
Torrance, CA 90502-2047
Phone
(310) 222-5101
Fax
(310) 320-5463
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G70500 CA Primary

Addresses

Primary practice location

21840 Normandie Ave
Ste. 700
Torrance, CA 90502-2047

Mailing address

21840 Normandie Ave
Ste. 700
Torrance, CA 90502-2047
Phone (310) 222-5189

Other identifiers 1

IdentifierTypeStateIssuer
00G705000MedicaidCA

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
I20101124000177 CA Practitioner - Cardiovascular Disease (Cardiology) 3476749821 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Southern California Keck School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1124 W Carson St
Torrance, CA 90502-2006
Phone (310) 222-2773

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G70500CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners a Medical Group Inc CurrentSince Aug 1, 2019 Accepting new patients
Prohealth Partners, a Medical Group Cardiovascular Disease Current Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Aug 1, 2019 Accepting new patients
County of Los Angeles CurrentSince Jul 1, 1999 Accepting new patients
County of Los Angeles CurrentSince Jul 1, 1999 Accepting new patients
County of Los Angeles CurrentSince Jan 1, 2022 Accepting new patients
Harbor-UCLA Medical Foundation, Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Prohealth Partners a Medical Group Inc Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000

20911 Earl St
Ste 180
Torrance, CA 90503
Phone (310) 370-4660

21840 Normandie Ave
Ste 100
Torrance, CA 90502
Phone (310) 222-5015

21840 Normandie Ave
Torrance, CA 90502
Phone (310) 222-5015

21840 Normandie Ave
Ste 700
Torrance, CA 90502
Phone (310) 222-5101

1124 W Carson St
Torrance, CA 90502
Phone (310) 222-2773

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1316957228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21840 NORMANDIE AVE",
            "address_2": "STE. 700",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022047",
            "telephone_number": "310-222-5189",
            "fax_number": "310-782-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21840 NORMANDIE AVE",
            "address_2": "STE. 700",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022047",
            "telephone_number": "310-222-5101",
            "fax_number": "310-320-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUDIZ",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G70500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G705000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.