Individual provider Active NPI

Ron Yaron Goldstein, M.D.

  • Medical Specialty Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1588848816
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
G79669 Issued in CA
Practice address
3000 W Macarthur Blvd Ste 600
Santa Ana, CA 92704-6982
Phone
(714) 564-8210
Fax
(714) 564-8306
NPI assigned
Dec 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X G79669 CA Primary

Addresses

Primary practice location

3000 W Macarthur Blvd Ste 600
Santa Ana, CA 92704-6982

Mailing address

902 N Grand Ave
Suite 204
Santa Ana, CA 92701-4218
Phone (714) 564-8210

Other identifiers 1

IdentifierTypeStateIssuer
G 00070OtherCAMEDICARE PROVIDER NUMBER

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

LicenseStateTypeSpecialty
G79669CAMDMedical Specialty Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Ron Y. Goldstein, Inc. Current Accepting new patients
Rpi Multi Specialty, Inc. Current Accepting new patients

Locations

902 N Grand Ave
Ste 204
Santa Ana, CA 92701
Phone (714) 252-3008

3000 W MacArthur Blvd
Ste 600
Santa Ana, CA 92704
Phone (626) 338-7391

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1588848816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N GRAND AVE",
            "address_2": "SUITE 204",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014218",
            "telephone_number": "714-564-8210",
            "fax_number": "714-564-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W MACARTHUR BLVD STE 600",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046982",
            "telephone_number": "714-564-8210",
            "fax_number": "714-564-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "RON",
        "middle_name": "YARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G79669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "G 00070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.