Individual provider Active NPI

Ronald Scott Haxton, M.D.

  • Pediatrics Physician
  • Mission Viejo, CA
National Provider Identifier
1720037864
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A22838 Issued in CA
Practice address
27800 Medical Center Rd
Suite 204
Mission Viejo, CA 92691-6410
Phone
(949) 364-3532
Fax
(949) 347-7645
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A22838 CA Primary

Addresses

Primary practice location

27800 Medical Center Rd
Suite 204
Mission Viejo, CA 92691-6410

Mailing address

27771 Horseshoe BND
San Juan Capistrano, CA 92675-1522
Phone (949) 443-1791

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160523002354 CA Practitioner - Pediatric Medicine 6002105574 Practice locations: San Juan Capistrano, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A22838CAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1720037864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27771 HORSESHOE BND",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751522",
            "telephone_number": "949-443-1791",
            "fax_number": "949-443-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27800 MEDICAL CENTER RD",
            "address_2": "SUITE 204",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916410",
            "telephone_number": "949-364-3532",
            "fax_number": "949-347-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAXTON",
        "first_name": "RONALD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A22838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.