Ronald L. Katz, M. D., Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G31015 Issued in CA

Legal business name

RONALD L. KATZ, M. D., INC.

Practice address

355 Placentia Ave
Suite 209
Newport Beach, CA 92663-3311

Phone

(949) 645-3532

Fax

(949) 645-3985

NPI assigned

Sep 24, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Tara M Poulsen

Title

Office Manager

Phone

(949) 645-3532

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1376877282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE",
            "address_2": "SUITE 209",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633311",
            "telephone_number": "949-645-3532",
            "fax_number": "949-645-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE",
            "address_2": "SUITE 209",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633311",
            "telephone_number": "949-645-3532",
            "fax_number": "949-645-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD L. KATZ, M. D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "POULSEN",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-645-3532",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G31015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.