Organization Active NPI

Ronald P. Kleinman O.D. a Professional Corporation

  • Point of Service
  • Panorama City, CA
National Provider Identifier
1801273370
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
7101T Issued in CA
Legal business name
RONALD P. KLEINMAN O.D. A PROFESSIONAL CORPORATION
Practice address
14449 Roscoe Blvd
Panorama City, CA 91402-3012
Phone
(818) 894-9582
Fax
(818) 894-0391
NPI assigned
May 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Dr. Ronald Paul Kleinman, O.D.NPI 1164533360
Title
President
Phone
(818) 894-9582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 7101T CA Primary

Addresses

Primary practice location

14449 Roscoe Blvd
Panorama City, CA 91402-3012

Mailing address

14449 Roscoe Blvd
Panorama City, CA 91402-3012
Phone (818) 894-9582

Other names 1

  • R R Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211215000882 CA Part B Supplier - Clinic/Group Practice 6103221783 Receives reassigned benefits from 1 practitioner
Practice locations: Panorama City, CA

National Provider Directory

National Provider Directory

Locations

14449 Roscoe Blvd
Panorama City, CA 91402
Phone (818) 894-9582

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1801273370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14449 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023012",
            "telephone_number": "818-894-9582",
            "fax_number": "818-894-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14449 ROSCOE BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023012",
            "telephone_number": "818-894-9582",
            "fax_number": "818-894-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD P. KLEINMAN O.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "KLEINMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-894-9582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "7101T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R R Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.