Individual provider Active NPI

Ronald Kurtz, MD

  • Ophthalmology Physician
  • Irvine, CA
National Provider Identifier
1710065453
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G85877 Issued in CA
Practice address
118 Med Surge 1
University of California, Irvine
Irvine, CA 92697
Phone
(949) 824-6256
Fax
(949) 824-4015
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G85877 CA Primary

Addresses

Primary practice location

118 Med Surge 1
University of California, Irvine
Irvine, CA 92697

Mailing address

118 Med Surge 1
University of California, Irvine
Irvine, CA 92697
Phone (949) 824-6256

Other identifiers 1

IdentifierTypeStateIssuer
W2976OtherGROUP 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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1710065453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MED SURGE 1",
            "address_2": "UNIVERSITY OF CALIFORNIA, IRVINE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92697",
            "telephone_number": "949-824-6256",
            "fax_number": "949-824-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MED SURGE 1",
            "address_2": "UNIVERSITY OF CALIFORNIA, IRVINE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92697",
            "telephone_number": "949-824-6256",
            "fax_number": "949-824-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G85877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "W2976",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.