Organization Active NPI

Ronald E Foltz MD Inc

  • Ophthalmology Physician
  • Placerville, CA
National Provider Identifier
1891767505
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
00G203272 Issued in CA
Legal business name
RONALD E FOLTZ MD INC
Practice address
1000 Fowler Way
Suite 2
Placerville, CA 95667-5738
Phone
(530) 626-0058
Fax
(530) 626-0092
NPI assigned
Feb 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Ronald E Foltz, MD
Title
President
Phone
(530) 626-0058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 00G203272 CA Primary

Addresses

Primary practice location

1000 Fowler Way
Suite 2
Placerville, CA 95667-5738

Mailing address

1000 Fowler Way
Suite 2
Placerville, CA 95667-5738
Phone (530) 626-0058

Other identifiers 5

IdentifierTypeStateIssuer
ZZZ05967ZOtherCAPPO HMO
ZZZ05967ZOtherCABLUE SHIELD
ZZZ05967ZMedicaidCA
058518OtherEYEMED
ZZZ05967ZOtherCAWORKERS COMP

National Provider Directory

National Provider Directory

Locations

1000 Fowler Way
Ste 2
Placerville, CA 95667
Phone (530) 626-0058

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1891767505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FOWLER WAY",
            "address_2": "SUITE 2",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675738",
            "telephone_number": "530-626-0058",
            "fax_number": "530-626-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FOWLER WAY",
            "address_2": "SUITE 2",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675738",
            "telephone_number": "530-626-0058",
            "fax_number": "530-626-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD E FOLTZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FOLTZ",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-626-0058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "00G203272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO HMO",
            "identifier": "ZZZ05967Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ05967Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ05967Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "058518",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "ZZZ05967Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.