Individual provider Active NPI

Ronald Schwartz, M.D

  • General Practice Physician
  • Santa Clarita, CA
National Provider Identifier
1891895702
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A39334 Issued in CA
Practice address
21700 Golden Triangle Rd
102
Santa Clarita, CA 91350-2616
Phone
(661) 260-1155
Fax
(661) 260-1192
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A39334 CA Primary

Addresses

Primary practice location

21700 Golden Triangle Rd
102
Santa Clarita, CA 91350-2616

Mailing address

21700 Golden Triangle Rd
102
Santa Clarita, CA 91350-2616
Phone (661) 260-1155

Other identifiers 2

IdentifierTypeStateIssuer
00A393342MedicaidCA
010024452OtherCARAIL ROAD MEDICARE

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
I20091110000240 CA Practitioner - General Practice 4486732013 Reassigns benefits to 1 organization
Practice locations: Saugus, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39334CAMDDentist
A39334CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates Corporation CurrentSince Dec 17, 2016 Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Santa Clarita Home Health Inc.Santa Clarita, CA, CCN 557722 Home health agency Contracted Managing Employee Aug 1, 2002
Ez Comfort Hospice CareSanta Clarita, CA, CCN 921587 Hospice Contracted Managing Employee
Operational/Managerial Control
Feb 28, 2017
Feb 28, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1891895702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 GOLDEN TRIANGLE RD",
            "address_2": "102",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502616",
            "telephone_number": "661-260-1155",
            "fax_number": "661-260-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 GOLDEN TRIANGLE RD",
            "address_2": "102",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502616",
            "telephone_number": "661-260-1155",
            "fax_number": "661-260-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A39334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A393342",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "010024452",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.