Active NPI
Ronald Wayne Rosenquist, MD
- Urology Physician
- Laguna Hills, CA
National Provider Identifier
1770580649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G34099
- Practice address
- 24953 Paseo de Valencia
Laguna Hills, CA 92653-4342 - Phone
- (949) 768-6711
- Fax
- (949) 768-6711
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | G34099 | CA | Primary |
Addresses
Primary practice location
24953 Paseo de Valencia
Laguna Hills, CA 92653-4342
Mailing address
24953 Paseo de Valencia
7-C
Laguna Hills, CA 92653
Phone (949) 768-6711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G340990 | Other | CA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1770580649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24953 PASEO DE VALENCIA",
"address_2": "7-C",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "92653",
"telephone_number": "949-768-6711",
"fax_number": "949-768-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24953 PASEO DE VALENCIA",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534342",
"telephone_number": "949-768-6711",
"fax_number": "949-768-6711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENQUIST",
"first_name": "RONALD",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G34099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00G340990",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.