Active NPI
Ronalie Bernardo Alonzo, MD
- Anesthesiology Physician
- Long Beach, CA
National Provider Identifier
1780782979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G76400
- Practice address
- 3833 Worsham Ave Ste 200
Long Beach, CA 90808-1766 - Phone
- (562) 426-2606
- Fax
- (562) 426-5866
- NPI assigned
- Sep 20, 2006
- Last updated
- Apr 23, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G76400 | CA | Primary |
Addresses
Primary practice location
3833 Worsham Ave Ste 200
Long Beach, CA 90808-1766
Mailing address
400 N Tustin Ave Ste 400
Santa Ana, CA 92705-3850
Phone (714) 619-5391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G764000 | Medicaid | CA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thang Q Le MD Incorporated | Anesthesiology | Past | Accepting new patients |
| Medical Anesthesia Consultants Medical Group, Inc. | Anesthesiology | Past | 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.
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- Los Angeles, CA
- NPI 1174621353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1780782979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N TUSTIN AVE STE 400",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053850",
"telephone_number": "714-619-5391",
"fax_number": "770-701-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3833 WORSHAM AVE STE 200",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908081766",
"telephone_number": "562-426-2606",
"fax_number": "562-426-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONZO",
"first_name": "RONALIE",
"middle_name": "BERNARDO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G76400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G764000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.