Dale A Vonruden, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

CFE31040 Issued in CA

Practice address

921 Longview Ave
Pismo Beach, CA 93449-2430

Phone

(805) 773-1708

NPI assigned

Dec 9, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1750526596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 LONGVIEW AVE",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492430",
            "telephone_number": "805-773-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 LONGVIEW AVE",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492430",
            "telephone_number": "805-773-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONRUDEN",
        "first_name": "DALE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "CFE31040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Utter, LMFT
• Olivia Valdez, ND
• Kendra Kendra Varney, M.S.
• Michael R. Velarde, M.D.
• Ventana Health and Medical Center
• John Andrew Wakeman, DDS
• Alice Wallack, MD
• Alison Watt, PA-C
• Amy E. Webb, M.D.
• Marc W. Weise, M.D.

• General Practice Physician in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.