Ronald Eric Doria Tamondong, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

129664 Issued in CA

Practice address

2505 E Divisadero St
Fresno, CA 93721-1401

Phone

(559) 457-5500

Fax

(559) 457-5599

NPI assigned

Apr 10, 2013

Last updated

Sep 19, 2023By 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rtamondong20994@clinicasierravista.direct-ci.com

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.

• Clinica Sierra Vista

  dba Orange and Butler Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
  • NPI 1740439314
  Medicare reassignment NPD
• Clinica Sierra Vista

  dba Lamont Pharmacy

  • Community/Retail Pharmacy
  • Lamont, CA
  • NPI 1275161325
  NPD

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1518300466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211401",
            "telephone_number": "559-457-5500",
            "fax_number": "559-457-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211401",
            "telephone_number": "559-457-5500",
            "fax_number": "559-457-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMONDONG",
        "first_name": "RONALD ERIC",
        "middle_name": "DORIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "129664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Michelle Tamez
• Tammie Makely Marriage and Family Therapy, a Professional Corporation
• Tammy L Dirksen (Central Orthotic & Prosthetic)
• Rodorico Tamo, BSN RN
• Rhoda Tamondong
• Frank Tamura, M.D.
• Marc Clint Tan-Shuttleworth I
• Doris Tiu Tan, D.O.
• Kammi Tan
• Le Vena Tan, RD, IBCLC

• Pediatrics Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.