Elena Liza Ronquillo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

295315 Issued in CA

Practice address

265 N El Cielo Rd Ste a-101
Palm Springs, CA 92262-6940

Phone

(760) 320-8814

Fax

(760) 969-7043

NPI assigned

Oct 2, 2018

Last updated

Oct 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Elena Liza Ronquillo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: elena.ronquillo.p2@direct.mydohc.nextgenshare.com
• Direct secure messaging: elena.ronquillo.p5@direct.mydohc.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Desert Oasis Healthcare

  • Urgent Care Clinic/Center
  • Yucca Valley, CA
  • NPI 1578964375
  NPD (past)

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1336624667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N EL CIELO RD STE A-101",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626940",
            "telephone_number": "760-320-8814",
            "fax_number": "760-969-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N EL CIELO RD STE A-101",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626940",
            "telephone_number": "760-320-8814",
            "fax_number": "760-969-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONQUILLO",
        "first_name": "ELENA",
        "middle_name": "LIZA",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "RONQUILLO",
            "middle_name": "LIZA",
            "prefix": "MS.",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Edith Romero
• Letisha Romero
• Renita Rochelle Romero, FNP
• Ronald Himelman MD
• Ronald P Crudo DMD PC
• Alan Michael Rooney, EDD
• Jon Root, CMT
• Estephanie Rosales
• Karla Flores Rosas
• Michael Giancarlo Rosco, MD

• Physical Therapist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.