Individual provider Active NPI

Ron Lichtenstein, MD

  • Gynecology Physician
  • Fresno, CA
National Provider Identifier
1447243191
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G77034 Issued in CA
Practice address
2210 E Illinois Ave
Suite 406
Fresno, CA 93701-2125
Phone
(559) 486-8888
Fax
(559) 486-8887
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X G77034 CA Primary

Addresses

Primary practice location

2210 E Illinois Ave
Suite 406
Fresno, CA 93701-2125

Mailing address

3812 N 1St St
Fresno, CA 93726-4301
Phone (559) 495-3120

Other identifiers 1

IdentifierTypeStateIssuer
G77034OtherCACA STATE PROVIDER LIC NU

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331001598 CA Practitioner - Obstetrics/Gynecology 0143212092 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Southern California Keck School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Womens Health Medical Group IncGroup PAC ID 4082606009, 4 clinicians

Practice addresses (Care Compare)

2944 Fresno St
Fresno, CA 93721-1405
Phone (559) 497-7900

Hospital & facility affiliations

  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as group
Quality
76.71
Promoting interoperability
100
Improvement activities
40
Cost
74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central California Faculty Medical Group, Inc. Current Accepting new patients
University Faculty Associates, Inc. Obstetrics & Gynecology CurrentSince May 16, 2015 Accepting new patients
Central California Faculty Medical Group, Inc. Obstetrics & Gynecology CurrentSince Dec 1, 2024 Accepting new patients
Omni Womens Health Medical Group Inc Gynecology Current Accepting new patients
Omni Women'S Health Medical Group, Inc CurrentSince Mar 9, 2009 Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

1530 Shaw Ave
Clovis, CA 93611
Phone (559) 323-9133

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

3812 N 1st St
Fresno, CA 93726
Phone (559) 226-2722

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

2944 Fresno St
Fresno, CA 93721
Phone (559) 497-7900

2405 Tulare St
Fresno, CA 93721
Phone (559) 797-1873

2210 E Illinois Ave
Ste 406
Fresno, CA 93701
Phone (559) 313-9959

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1447243191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264301",
            "telephone_number": "559-495-3120",
            "fax_number": "559-495-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E ILLINOIS AVE",
            "address_2": "SUITE 406",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012125",
            "telephone_number": "559-486-8888",
            "fax_number": "559-486-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTENSTEIN",
        "first_name": "RON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G77034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE PROVIDER LIC NU",
            "identifier": "G77034",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.