Organization Active NPI

Ronald a Kass M.D., Inc.

  • Pulmonary Disease Physician
  • Stockton, CA
National Provider Identifier
1902968175
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
C42006 Issued in CA
Legal business name
RONALD A KASS M.D., INC.
Practice address
1801 E March LN
Suite C300
Stockton, CA 95210-6629
Phone
(209) 464-6422
Fax
(209) 464-0193
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Dr. Ronald A Kass, M.D.
Title
President
Phone
(209) 464-6422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X C42006 CA Primary

Addresses

Primary practice location

1801 E March LN
Suite C300
Stockton, CA 95210-6629

Mailing address

1801 E March LN
Suite C300
Stockton, CA 95210-6629
Phone (209) 464-6422

Other identifiers 1

IdentifierTypeStateIssuer
GR0050180MedicaidCA

National Provider Directory

National Provider Directory

Locations

545 E Cleveland St
Ste C
Stockton, CA 95204
Phone (209) 464-6422

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1902968175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN",
            "address_2": "SUITE C300",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106629",
            "telephone_number": "209-464-6422",
            "fax_number": "209-464-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN",
            "address_2": "SUITE C300",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106629",
            "telephone_number": "209-464-6422",
            "fax_number": "209-464-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD A KASS M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "KASS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-464-6422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C42006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0050180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.