Individual provider Active NPI

Ronald J. Correa, M.D.

  • Family Medicine Physician
  • La Habra, CA
National Provider Identifier
1821035536
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G50772 Issued in CA
Practice address
361 E Whittier Blvd Ste B
La Habra, CA 90631-3842
Phone
(562) 694-3911
Fax
(562) 690-1453
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G50772 CA Primary

Addresses

Primary practice location

361 E Whittier Blvd Ste B
La Habra, CA 90631-3842

Mailing address

361 Whittier Blvd.
Suite B
La Habra, CA 90631-3842
Phone (562) 694-3911

Other identifiers 4

IdentifierTypeStateIssuer
00G507720MedicaidCA
080187031OtherRAILROAD
00G507720OtherBLUE SHIELD ID #
033479OtherHEALTH NET ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060511000392 CA Practitioner - Family Practice 8921019480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caremore Medical Group IncGroup PAC ID 3678584497, 16 clinicians

Practice addresses (Care Compare)

361 E Whittier Blvd
Suite B
La Habra, CA 90631-3842
Phone (562) 694-3911

Merit-based Incentive Payment System (MIPS)

Final score
90.27 of 100Reported as group
Quality
89.89
Improvement activities
40
Cost
81.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50772CAMDDentist
G50772CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caremore Medical Group Inc Family Medicine CurrentSince Feb 28, 2006 Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Rubin and McNamara MDS Inc Past Accepting new patients
Caremore Medical Group Family Medicine Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

9040 Telegraph Rd
Downey, CA 90240
Phone (562) 861-0954

361 E Whittier Blvd
Ste B
La Habra, CA 90631
Phone (562) 694-3911

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ronald.correa.p7@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: ronald.correa.1@32527.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1821035536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 WHITTIER BLVD.",
            "address_2": "SUITE B",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313842",
            "telephone_number": "562-694-3911",
            "fax_number": "562-690-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 E WHITTIER BLVD STE B",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313842",
            "telephone_number": "562-694-3911",
            "fax_number": "562-690-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "RONALD",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G50772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G507720",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "080187031",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID #",
            "identifier": "00G507720",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET ID #",
            "identifier": "033479",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

Verify at the official NPI Registry.