Ronald Edward Iverson, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0G147380 Issued in CA

Practice address

1387 Santa Rita Rd
Pleasanton, CA 94566-5643

Phone

(925) 462-3700

Fax

(925) 462-4681

NPI assigned

May 24, 2006

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

State licenses

Practice roles

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.

• Plastic and Reconstructive Surgery

  • Ambulatory Surgical Clinic/Center
  • Pleasanton, CA
  • NPI 1043249972
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316992373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 SANTA RITA RD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945665643",
            "telephone_number": "925-462-3700",
            "fax_number": "925-462-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 SANTA RITA RD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945665643",
            "telephone_number": "925-462-3700",
            "fax_number": "925-462-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "RONALD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "0G147380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "05-1102",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Voralak Inthong, RPH
• Shaina E Irving
• Ishraf Corporation
• Theresa Marie Isidro
• Natalia Isurin-Christiansen, RN
• Ugochi Iwuagwu
• Kanchana Sadasivan Iyer
• Kevin Michael Izquierdo, MD
• Lindsey Rachel Izurieta, PNP
• Bao Khanh Jabbar, D.M.D, M.S., M.P.H.

• Plastic Surgery Physician in Pleasanton, CA
• Providers in Pleasanton, 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 Jul 13, 2026; 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.