Organization Active NPI

Ronald F Antimarino DMD Inc

  • Dentist
  • Long Beach, CA
National Provider Identifier
1689863250
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27949 Issued in CA
Legal business name
RONALD F ANTIMARINO DMD INC
Practice address
3816 Woodruff Ave
Suite 310
Long Beach, CA 90808-2146
Phone
(562) 421-9304
Fax
(562) 421-2363
NPI assigned
Oct 19, 2007
Last updated
Oct 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Ronald F Antimarino, DMDNPI 1396809018
Title
Owner
Phone
(562) 421-9304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 27949 CA Primary

Addresses

Primary practice location

3816 Woodruff Ave
Suite 310
Long Beach, CA 90808-2146

Mailing address

3816 Woodruff Ave
Suite 310
Long Beach, CA 90808-2146
Phone (562) 421-9304

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1689863250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE",
            "address_2": "SUITE 310",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082146",
            "telephone_number": "562-421-9304",
            "fax_number": "562-421-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE",
            "address_2": "SUITE 310",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082146",
            "telephone_number": "562-421-9304",
            "fax_number": "562-421-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD F ANTIMARINO DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "ANTIMARINO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-421-9304",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "27949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.