Ron Gutmark, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A129409 Issued in CA

Practice address

210 S Grand Ave
#106
Glendora, CA 91741-4205

Phone

(626) 335-0535

NPI assigned

Jul 16, 2010

Last updated

Jun 29, 2016By 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 4

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

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.

• Almira Wilson Cann MD Inc

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1417108069
  Medicare reassignment NPD
• Regents of the University of California

  • Ophthalmology Physician
  • San Diego, CA
  • NPI 1699877621
  Medicare reassignment NPD
• Specialty Eye Care Medical Center, Inc.

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1932137601
  Medicare reassignment NPD
• Regents of the University of California

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1558463927
  NPD
• Madison Parish Hospital Service District

  dba Madison Parish Hospital

  • Critical Access Hospital
  • Tallulah, LA
  • NPI 1093834608
  NPD (past)

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1609189893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE",
            "address_2": "#106",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414205",
            "telephone_number": "626-335-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE",
            "address_2": "#106",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414205",
            "telephone_number": "626-335-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTMARK",
        "first_name": "RON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "P25846",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD447468",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301106769",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A129409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurjeet Kalkat LLC
• Ilana Gustaferro
• James Douglas Gustin, D.C.
• Sheila Garrett Gutierrez, LMFT
• Victoria Gutierrez
• Guzman Psychiatric Nursing Services Corporation
• Ashlee Guzman
• Jennifer Lynn Guzman, DNP, RN, PMHNP-BC
• Thomas A Guzman, LVN
• Brian Leslie Gwartz, M.D.

• Ophthalmology Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.