Ronny G Ghazal, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G63535 Issued in CA

Practice address

4234 Riverwalk Pkwy
Suite 200
Riverside, CA 92505-8510

Phone

(909) 557-1600

Fax

(909) 557-1740

NPI assigned

Oct 6, 2006

Last updated

Jun 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Orthopedic Surgery

Education

Loma Linda University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Bernardino Medical Orthopaedic Group IncGroup PAC ID 9335045228, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountains Community Hospital Hospital, Lake Arrowhead, CA, CCN 051312
• St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• San Bernardino Medical Orthopaedic Group, Inc.

  dba Arrowhead Orthopaedics

  • Orthopaedic Surgery Physician
  • Redlands, CA
  • NPI 1336187475
  Medicare reassignment Care Compare group NPD
• San Bernardino Medical Orthopaedic Group, Inc.

  dba Arrowhead Orthopaedics

  • Orthopaedic Surgery Physician
  • Beaumont, CA
  • NPI 1235964537
  NPD
• Advanced Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Redlands, CA
  • NPI 1881690949
  NPD (past)
• Community Hospital of San Bernardino

  dba Community Convalescent Center of San Bernardino

  • Pediatric Skilled Nursing Facility
  • San Bernardino, CA
  • NPI 1851395685
  NPD (past)
• Dignity Health

  dba St. Bernardine Medical Center

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  NPD (past)
• Doctors Hospital of Riverside LLC

  dba Parkview Community Hospital Medical Center

  • General Acute Care Hospital
  • Riverside, CA
  • NPI 1124596382
  NPD (past)
• Gustafson Orthopedics, Inc.

  • Specialist
  • Loma Linda, CA
  • NPI 1386827988
  NPD (past)
• Redlands Community Hospital

  • General Acute Care Hospital
  • Redlands, CA
  • NPI 1043354111
  NPD (past)
• San Bernardino Medical Orthopaedic Group, Inc.

  dba Arrowhead Orthopaedics

  • Orthopaedic Surgery Physician
  • Redlands, CA
  • NPI 1114527314
  NPD (past)
• San Bernardino Medical Orthopaedic Group, Inc.

  dba Arrowhead Orthopaedics

  • Orthopaedic Surgery Physician
  • Redlands, CA
  • NPI 1205436409
  NPD (past)
• San Bernardino Medical Orthopaedic Group, Inc.

  dba Arrowhead Orthopaedics

  • Orthopaedic Surgery Physician
  • Redlands, CA
  • NPI 1225239304
  NPD (past)
• San Bernardino Medical Orthopaedic Group, Inc.

  dba Arrowhead Orthopaedics

  • Orthopaedic Surgery Physician
  • Victorville, CA
  • NPI 1710586409
  NPD (past)

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

• Dignity Health

  dba St. Bernardine Medical Center

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  Care Compare affiliation
• San Bernardino Mountains Community Hospital District

  dba Mountains Community Hospital

  • Critical Access Hospital
  • Lake Arrowhead, CA
  • NPI 1245380799
  Care Compare affiliation

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1477640001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W LUGONIA AVE",
            "address_2": "SUITE 230",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923749703",
            "telephone_number": "909-557-1600",
            "fax_number": "909-557-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY",
            "address_2": "SUITE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925058510",
            "telephone_number": "909-557-1600",
            "fax_number": "909-557-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZAL",
        "first_name": "RONNY",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G63535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghasan Tabel Medical Professional Corporation
• Farideh Ghasemi, FNP
• Sassan Ghassemzadeh, M.D.
• Nikhil Ghatnekar, DO, MBA
• Babak Ghavami, MD
• Ghazaleh Nouri Dental Corp (Magnolia Modern Dental)
• Zeron Ghazarian, M.D.
• Mehran Ghazizadeh, D.C
• Mina S Ghebrial, M.D.
• Ghods Chiropractic Inc.

• Orthopaedic Surgery Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.