Ronald C. Allison M.D. Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G15360 Issued in CA

Legal business name

RONALD C. ALLISON M.D. INC.

Doing business as

Stockton Urological Medical Group

Practice address

415 E Harding Way Ste H
Stockton, CA 95204-6118

Phone

(209) 943-2107

Fax

(209) 943-1048

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald C. Allison, M.D.

Title

Owner

Phone

(209) 943-2107

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stockton Urological Medical Group Doing business as

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1720208481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E HARDING WAY STE H",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046118",
            "telephone_number": "209-943-2107",
            "fax_number": "209-943-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E HARDING WAY STE H",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046118",
            "telephone_number": "209-943-2107",
            "fax_number": "209-943-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD C. ALLISON M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-943-2107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G15360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0040550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stockton Urological Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dayana C Romo
• Jennifer Romo
• Sam Romo
• Vanessa Aldana Romo, RDN
• Ronald a Kass M.D., Inc.
• Lillianna Rondaris
• Aaron Christopher Rondon, D.D.S., M.S.
• James D Rooke, M.D.
• Wendy Rooker
• Roose Dialysis LLC

• Specialist in Stockton, CA
• Providers in Stockton, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.