Ronaldo San Jose, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

15761 Issued in CA

Practice address

5544 E 2ND St
Long Beach, CA 90803-3924

Phone

(323) 333-4366

NPI assigned

Oct 29, 2013

Last updated

Apr 19, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Above Care Home Health, Inc

  • Home Health Agency
  • Glendale, CA
  • NPI 1881139210
  NPD Authorized official
• Ibalanceme

  • Health Service Clinic/Center
  • Long Beach, CA
  • NPI 1093249633
  NPD (past) Authorized official

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1649608621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N IRVING BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041508",
            "telephone_number": "323-333-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5544 E 2ND ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908033924",
            "telephone_number": "323-333-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN JOSE",
        "first_name": "RONALDO",
        "name_prefix": "Dr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-29",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Samuels
• Michael San Agustin, PHARMD
• San Antonio Dental Inc
• Catherine San Diego
• Ferdinand Taplacido San Diego
• Breeana Marie San Lucas
• Maricel Maita San Pedro
• Richer San
• Sanar Health Services Corp
• Sanavida Medical Group, Inc. (Sanavida Long Beach)

• Acupuncturist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.