Individual provider Active NPI

Dennis Ponzio

  • Family Medicine Physician
  • Yorba Linda, CA
National Provider Identifier
1902848831
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G689220 Issued in CA
Practice address
18300 Yorba Linda Blvd
Suite 201
Yorba Linda, CA 92886-4052
Phone
(714) 577-6000
Fax
(714) 572-9538
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G689220 CA Primary

Addresses

Primary practice location

18300 Yorba Linda Blvd
Suite 201
Yorba Linda, CA 92886-4052

Mailing address

18200 Yorba Linda Blvd
Suite 401
Yorba Linda, CA 92886-4056

Other identifiers 1

IdentifierTypeStateIssuer
00G689220MedicaidCA

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
I20111227000222 CA Practitioner - Family Practice 5395911440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caduceus Physicians Medical GroupGroup PAC ID 5294762654, 23 clinicians
Anchor Medical GroupGroup PAC ID 9133616519, 19 clinicians

Practice addresses (Care Compare)

18200 Yorba Linda Blvd
Yorba Linda, CA 92886-4044
Phone (714) 577-6031

18220 Yorba Linda Blvd
Suite 301
Yorba Linda, CA 92886-4032
Phone (714) 577-6031

19742 Macarthur Blvd
Suite 100
Irvine, CA 92612-2408
Phone (949) 428-0330

333 Thalia St
Laguna Beach, CA 92651-2713
Phone (949) 499-0577

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68922CAMDPharmacist
G689220CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caduceus Physicians Medical Group Family Medicine CurrentSince Dec 1, 2015 Accepting new patients
Anchor Medical Group Family Medicine CurrentSince Sep 1, 2025 Accepting new patients

Locations

18300 Yorba Linda Blvd
Ste 201
Yorba Linda, CA 92886
Phone (714) 572-3240

18200 Yorba Linda Blvd
Ste 401
Yorba Linda, CA 92886
Phone (714) 646-8010

18300 Yorba Linda Blvd
Ste 204
Yorba Linda, CA 92886
Phone (714) 646-8034

18200 Yorba Linda Blvd
#401
Yorba Linda, CA 92886
Phone (949) 986-3300

18200 Yorba Linda Blvd
Ste 308
Yorba Linda, CA 92886
Phone (714) 646-8070

18200 Yorba Linda Blvd
Ste 250
Yorba Linda, CA 92886
Phone (714) 577-6000

18200 Yorba Linda Blvd
Ste 111
Yorba Linda, CA 92886

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1902848831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 YORBA LINDA BLVD",
            "address_2": "SUITE 401",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 YORBA LINDA BLVD",
            "address_2": "SUITE 201",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864052",
            "telephone_number": "714-577-6000",
            "fax_number": "714-572-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONZIO",
        "first_name": "DENNIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G689220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G689220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.