Active NPI
Ronald Kurtz, MD
- Ophthalmology Physician
- Irvine, CA
National Provider Identifier
1710065453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G85877
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W2976 | Other | GROUP 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.