Active NPI
Ronald Scott Haxton, M.D.
- Pediatrics Physician
- Mission Viejo, CA
National Provider Identifier
1720037864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A22838
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A22838 | CA | MD | Pediatrics 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.