Active NPI
Ronald Ryo Yamada, M.D.
- Orthopaedic Surgery Physician
- Manteca, CA
National Provider Identifier
1457337362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G30653
- Practice address
- 1191 E Yosemite Ave
Ste 203
Manteca, CA 95336-5011 - Phone
- (916) 989-1887
- Fax
- (916) 989-1887
- NPI assigned
- Dec 22, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G30653 | CA | Primary |
Addresses
Primary practice location
1191 E Yosemite Ave
Ste 203
Manteca, CA 95336-5011
Mailing address
PO Box 230
Orangevale, CA 95662-0230
Phone (916) 989-1887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11135588 | Other | CA | CAQH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G30653 | CA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1457337362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 230",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956620230",
"telephone_number": "916-989-1887",
"fax_number": "916-989-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1191 E YOSEMITE AVE",
"address_2": "STE 203",
"city": "MANTECA",
"state": "CA",
"postal_code": "953365011",
"telephone_number": "916-989-1887",
"fax_number": "916-989-1887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMADA",
"first_name": "RONALD",
"middle_name": "RYO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G30653",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11135588",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.