Active NPI
Ronald Anthony Pitts, MD
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1477699486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C29377
- Practice address
- 3834 S Western Ave
Los Angeles, CA 90062-1104 - Phone
- (323) 730-1920
- Fax
- (323) 373-2045
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C29377 | CA | Primary |
Addresses
Primary practice location
3834 S Western Ave
Los Angeles, CA 90062-1104
Mailing address
3834 S Western Ave
Los Angeles, CA 90062-1104
Phone (323) 730-1920
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C29377 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1477699486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3834 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900621104",
"telephone_number": "323-730-1920",
"fax_number": "323-373-2045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3834 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900621104",
"telephone_number": "323-730-1920",
"fax_number": "323-373-2045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS",
"first_name": "RONALD",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C29377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.