Active NPI
Ronald J. Edelson MD a Medical Corporation
- Plastic Surgery Physician
- San Diego, CA
National Provider Identifier
1568760288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- G59765
- Legal business name
- RONALD J. EDELSON MD A MEDICAL CORPORATION
- Practice address
- 9339 Genesee Ave Ste P39
San Diego, CA 92121-2120 - Phone
- (858) 452-9900
- Fax
- (858) 750-1474
- NPI assigned
- Mar 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald J Edelson, M.D.
- Title
- President
- Phone
- (858) 452-9900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | G59765 | CA | Primary |
Addresses
Primary practice location
9339 Genesee Ave Ste P39
San Diego, CA 92121-2120
Mailing address
9339 Genesee Ave Ste P39
San Diego, CA 92121-2120
Phone (858) 452-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2036558 | Other | CA | CORPORATION NUMBER |
National Provider Directory
National Provider DirectoryLocations
9339 Genesee Ave
Ste P39
San Diego, CA 92121
Phone (858) 452-9900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- San Diego, CA
- NPI 1558467316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299110400000",
"number": "1568760288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9339 GENESEE AVE STE P39",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212120",
"telephone_number": "858-452-9900",
"fax_number": "858-750-1474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9339 GENESEE AVE STE P39",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212120",
"telephone_number": "858-452-9900",
"fax_number": "858-750-1474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD J. EDELSON MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-03",
"last_updated": "2011-03-03",
"status": "A",
"authorized_official_last_name": "EDELSON",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-452-9900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "CA",
"license": "G59765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPORATION NUMBER",
"identifier": "C2036558",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Joscelyn Rompogren
- Ron G Soltero, MD, Inc
- Ron G. Soltero, M.D. Inc (La Jolla Professional Plastic Surgery)
- Armin Ronaghy, PA
- Hossain Ali Ronaghy, M.D.
- Ronald McDonald House Charities of San Diego, Inc.
- Ronald R. Harrington, M.D.,a Professional Corporation
- William V. Ronan, M.D.
- Roxane Roncarolo de Vries
- Alexis Roncevich
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.