Ronnie Nathan Dawood, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A100261 Issued in CA

Practice address

26342 Oso Pkwy
Suite 204
Mission Viejo, CA 92691-5645

Phone

(949) 367-1115

Fax

(888) 561-4883

NPI assigned

Jun 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Internal MedicineAlso: Dermatology

Education

Howard University College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Fred F. Soeprono, M.D., Inc.

  • Dermatology Physician
  • Redlands, CA
  • NPI 1346441276

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Sublime MD, a Professional Medical Corporation

  • Dermatology Physician
  • Redlands, CA
  • NPI 1396400230

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Sublime Medical Aesthetics

  • Internal Medicine Physician
  • Mission Viejo, CA
  • NPI 1386897858
  NPD (past) Authorized official

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1851593065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 TERRACINA BLVD",
            "address_2": "STE 206",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734870",
            "telephone_number": "949-367-1115",
            "fax_number": "888-561-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26342 OSO PKWY",
            "address_2": "SUITE 204",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915645",
            "telephone_number": "949-367-1115",
            "fax_number": "888-561-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWOOD",
        "first_name": "RONNIE",
        "middle_name": "NATHAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A100261",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A100261",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A100261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad Christopher Davis
• Linda Marlene Bolling Davis, M.D.
• Lisa Davis, R.N.
• Stephanie Lynne Davis, PH.D.
• Roman Davydov, LVN
• Samantha Day, PT, DPT
• Aaron Larry De la Cruz
• Jeffry De la Cruz, LMFT
• John Dennis De Lorme, D.D.S.
• Katherine Deangelo

• Internal Medicine Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.

Verify at the official NPI Registry.