Individual provider Active NPI

Ronald V Bjarnason, DO

  • Family Medicine Physician
  • Hilmar, CA
National Provider Identifier
1720192685
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5161 Issued in CA
Practice address
8397 N Lander Ave
Hilmar, CA 95324-0179
Phone
(209) 669-2655
Fax
(209) 669-2657
NPI assigned
Aug 18, 2006
Last updated
Feb 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A5161 CA Primary

Addresses

Primary practice location

8397 N Lander Ave
Hilmar, CA 95324-0179

Mailing address

PO Box 1179
Hilmar, CA 95324-0179
Phone (209) 669-2655

Other identifiers 1

IdentifierTypeStateIssuer
00AX51611MedicaidCA

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
I20050104000589 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 0345298691

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sonia Mahi's Nursing Corp PastSince May 21, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1720192685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1179",
            "city": "HILMAR",
            "state": "CA",
            "postal_code": "953240179",
            "telephone_number": "209-669-2655",
            "fax_number": "209-669-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8397 N LANDER AVE",
            "city": "HILMAR",
            "state": "CA",
            "postal_code": "953240179",
            "telephone_number": "209-669-2655",
            "fax_number": "209-669-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJARNASON",
        "first_name": "RONALD",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX51611",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilmar, CA

Sources for this page

Verify at the official NPI Registry.