Active NPI
Ronald H Wing, M.D.
- Family Medicine Physician
- Burbank, CA
National Provider Identifier
1861417206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A24826
- Practice address
- 2211 West Magnolia Blvd
#120
Burbank, CA 91506-1753 - Phone
- (818) 955-5773
- Fax
- (818) 955-5181
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 | A24826 | CA | Primary |
Addresses
Primary practice location
2211 West Magnolia Blvd
#120
Burbank, CA 91506-1753
Mailing address
2211 W. Magnolia Blvd.,
#120
Burbank, CA 91506-1753
Phone (818) 955-5773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A248260 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Family Medicine | Past | Accepting new patients |
| Algos Inc., a Medical Corporation | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Synovation Medical Group
- Pain Medicine Physician
- Pasadena, CA
- NPI 1497747356
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Family Medicine
-
dba Providence Saint Joseph Medical Center
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1861417206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 W. MAGNOLIA BLVD.,",
"address_2": "#120",
"city": "BURBANK",
"state": "CA",
"postal_code": "915061753",
"telephone_number": "818-955-5773",
"fax_number": "818-955-5181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 WEST MAGNOLIA BLVD",
"address_2": "#120",
"city": "BURBANK",
"state": "CA",
"postal_code": "915061753",
"telephone_number": "818-955-5773",
"fax_number": "818-955-5181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WING",
"first_name": "RONALD",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A24826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A248260",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.