Individual provider Active NPI

Ronald Hirotsugu Omino, M.D.

  • Internal Medicine Physician
  • Simi Valley, CA
National Provider Identifier
1871912451
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP10049474 Issued in TX
Practice address
2655 1St St Ste 360
Simi Valley, CA 93065-1581
Phone
(805) 583-7640
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A166989 CA
Internal Medicine Physician 207R00000X BP10049474 TX Primary

Addresses

Primary practice location

2655 1St St Ste 360
Simi Valley, CA 93065-1581

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8771

Other practice location 1

1 Baylor Plz
Houston, TX 77030-3411
Phone (713) 798-4951

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
I20200805003025 CA Practitioner - Gastroenterology 9133496540 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Wayne State University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 1355248584, shared by 11 NPIs, 1,426 clinicians

Practice addresses (Care Compare)

100 Moody CT
Suite 200
Thousand Oaks, CA 91360-6082
Phone (805) 418-3500

19950 Rinaldi St
Porter Ranch, CA 91326-4141

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (805) 497-2727

2755 Alamo St
Suite 100
Simi Valley, CA 93065-1345
Phone (805) 526-8252

7300 Medical Ctr Dr
West Hills, CA 91307-1902
Phone (818) 676-4000

7345 Medical Ctr Dr
Suite 420
West Hills, CA 91307-1964
Phone (805) 494-6020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy79
Upper gastrointestinal (GI) endoscopy for acid reflux142

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10049474TXMDInternal Medicine Physician
A166989CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Current Accepting new patients
The Regents of the University of California Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
The Regents of the University of California CurrentSince Sep 1, 2020 Accepting new patients
The Regents of the University of California CurrentSince Jun 1, 2025 Accepting new patients
County of Los Angeles CurrentSince May 17, 2021 Accepting new patients
The Regents of the University of California CurrentSince Mar 19, 2023 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince May 17, 2021 Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
UCLA Medical Group Internal Medicine Past Accepting new patients
Gastrointestinal Medical Center ASC Gastroenterology PastSince Dec 1, 2024 Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients

Locations

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

4343 Lankershim Blvd
Ste 210
North Hollywood, CA 91602
Phone (818) 843-9038

19950 Rinaldi St
Ste 300
Porter Ranch, CA 91326
Phone (818) 271-2400

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

2755 Alamo St
Ste 100
Simi Valley, CA 93065
Phone (626) 791-9004

2655 1st St
Ste 360
Simi Valley, CA 93065
Phone (805) 583-7640

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

248 Hampshire Rd
Ste 210
Thousand Oaks, CA 91361
Phone (805) 370-0040

100 Moody Ct
Ste 100
Thousand Oaks, CA 91360
Phone (805) 418-3444

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

25775 McBean Pkwy
Ste 115
Valencia, CA 91355
Phone (661) 255-2420

27235 Tourney Rd
Ste 1100
Valencia, CA 91355
Phone (661) 254-8032

7320 Woodlake Ave
Ste 320
West Hills, CA 91307
Phone (818) 436-7686

Interoperability endpoints

  • Direct secure messaging: romino794131@direct.uclahealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1871912451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 1ST ST STE 360",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651581",
            "telephone_number": "805-583-7640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Baylor Plz",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303411",
            "country_code": "US",
            "telephone_number": "713-798-4951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMINO",
        "first_name": "RONALD",
        "middle_name": "HIROTSUGU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A166989",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10049474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.