Active NPI
Ronald Israel
- Addiction (Substance Use Disorder) Counselor
- San Juan Capistrano, CA
National Provider Identifier
1437534252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCI03600315
- Practice address
- 27122 Paseo Espada # a
Suite 924
San Juan Capistrano, CA 92675-5706 - Phone
- (949) 350-0557
- Fax
- (949) 713-4990
- NPI assigned
- Jul 22, 2015
- Last updated
- Jul 22, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCI03600315 | CA | Primary |
Addresses
Primary practice location
27122 Paseo Espada # a
Suite 924
San Juan Capistrano, CA 92675-5706
Mailing address
27122 Paseo Espada # a
Suite 924
San Juan Capistrano, CA 92675-5706
Phone (949) 350-0557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCI03600315 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1437534252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27122 PASEO ESPADA # A",
"address_2": "SUITE 924",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926755706",
"telephone_number": "949-350-0557",
"fax_number": "949-713-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27122 PASEO ESPADA # A",
"address_2": "SUITE 924",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926755706",
"telephone_number": "949-350-0557",
"fax_number": "949-713-4990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISRAEL",
"first_name": "RONALD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-22",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "LCI03600315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan Capistrano, CA
- Zarah Afzal Imam, M.S.
- Donna Imler, LICSW
- Inbalance, a Women's Health & Wellness Center, Inc. (In Balance)
- Inland Psychiatric Medical Group Inc
- Nayuta Ishiwata-Luna, DACM
- J. Gegamyan Dental Corp (JG Dental)
- J.F.Shea Therapeutic Riding Center
- J&J Healing Journeys Licensed Professional Clinical Counselor Inc
- Riley Jacko, NP-C
- Emily Ann Jackson, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.