Active NPI
Ronald J. Correa, M.D.
- Family Medicine Physician
- La Habra, CA
National Provider Identifier
1821035536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G50772
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G507720 | Medicaid | CA | |
| 080187031 | Other | RAILROAD | |
| 00G507720 | Other | BLUE SHIELD ID # | |
| 033479 | Other | HEALTH 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 50772 | CA | MD | Dentist |
| G50772 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caremore Medical Group Inc | Family Medicine | Current | 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
- ronald.correa.p7@direct.caremorewest.nextgenshare.com
- 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.
-
- Family Medicine Physician
- Cerritos, CA
- NPI 1760435705
-
- Medicare Defined Swing Bed Hospital Unit
- Whittier, CA
- NPI 1497855605
-
- Physical Medicine & Rehabilitation Physician
- Cerritos, CA
- NPI 1770656829
Family Medicine
-
- General Acute Care Hospital
- Downey, CA
- NPI 1265433551
-
- Hematology & Oncology Physician
- La Mirada, CA
- NPI 1659328219
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.