Ronald Norman Kent, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G45058 Issued in CA

Practice address

11481 Heacock Street
Suite120
Moreno Valley, CA 92557

Phone

(951) 247-5703

Fax

(951) 247-0175

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: rkent38115@direct.uclahealth.org

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1851316228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11481 HEACOCK STREET",
            "address_2": "SUITE 120",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92557",
            "telephone_number": "951-247-5703",
            "fax_number": "951-247-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11481 HEACOCK STREET",
            "address_2": "SUITE120",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92557",
            "telephone_number": "951-247-5703",
            "fax_number": "951-247-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "RONALD",
        "middle_name": "NORMAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G45058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G450580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.