Individual provider Active NPI

Ronald Edward Bishop, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Monterey Park, CA
National Provider Identifier
1821053158
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A60758 Issued in CA
Practice address
880 S Atlantic Blvd
Suite 205
Monterey Park, CA 91754-4700
Phone
(626) 289-0178
Fax
(626) 308-2083
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A60758 CA Primary

Addresses

Primary practice location

880 S Atlantic Blvd
Suite 205
Monterey Park, CA 91754-4700

Mailing address

PO Box 4858
Palos Verdes Peninsula, CA 90274-9636
Phone (310) 781-3789

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
I20070514000439 CA Practitioner - Pain ManagementPractitioner - General PracticePractitioner - AnesthesiologyPractitioner - Interventional Pain Management 5799721155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology, General Practice, Interventional Pain Management
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

880 S Atlantic Blvd
Suite 205
Monterey Park, CA 91754-4782
Phone (626) 289-0178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60758CAMDPain Medicine (Anesthesiology) Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821053158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4858",
            "city": "PALOS VERDES PENINSULA",
            "state": "CA",
            "postal_code": "902749636",
            "telephone_number": "310-781-3789",
            "fax_number": "310-377-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S ATLANTIC BLVD",
            "address_2": "SUITE 205",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544700",
            "telephone_number": "626-289-0178",
            "fax_number": "626-308-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "RONALD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A60758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.