Active NPI
Ronald Christopher Delucia, ATC
- Specialist
- Surprise, AZ
National Provider Identifier
1902878424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0469
- Practice address
- 15754 N Bullard Ave
Surprise, AZ 85374-8839 - Phone
- (623) 266-8124
- Fax
- (623) 322-3148
- NPI assigned
- Feb 7, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0469 | AZ | Primary |
Addresses
Primary practice location
15754 N Bullard Ave
Surprise, AZ 85374-8839
Mailing address
15754 N Bullard Ave
Surprise, AZ 85374-8839
Phone (623) 266-8124
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0469 | AZ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902878424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15754 N BULLARD AVE",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853748839",
"telephone_number": "623-266-8124",
"fax_number": "623-322-3148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15754 N BULLARD AVE",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853748839",
"telephone_number": "623-266-8124",
"fax_number": "623-322-3148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELUCIA",
"first_name": "RONALD",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "0469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.