Ronald S Kundargi MD Inc.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A25743 Issued in CA

Legal business name

RONALD S KUNDARGI MD INC.

Practice address

12780 Hesperia Rd
Victorville, CA 92395-5806

Phone

(760) 946-5177

Fax

(760) 946-5133

NPI assigned

Sep 19, 2007

Last updated

Feb 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald S Kundargi, M.D.

Title

President

Phone

(760) 946-5177

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1336335793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17868 HWY 18 #424",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-946-5177",
            "fax_number": "760-946-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12780 HESPERIA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955806",
            "telephone_number": "760-946-5177",
            "fax_number": "760-946-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD S KUNDARGI MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "KUNDARGI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-946-5177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A25743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A257430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.