Ronald Lynn Pickern Jr.

Primary specialty

TaxiTaxonomy code 344600000X

License

B4156630 Issued in CA

Practice address

19506 Industrial Dr # C-2
Sonora, CA 95370-9213

Phone

(209) 984-3333

NPI assigned

Mar 6, 2014

Last updated

Mar 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1912323536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16457 DRAPER MINE RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708411",
            "telephone_number": "209-743-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19506 INDUSTRIAL DR # C-2",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709213",
            "telephone_number": "209-984-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKERN",
        "first_name": "RONALD",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "CA",
            "license": "B4156630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Peterson, OTR/L
• Steven H Peterson, MD
• Daniel B Phillips, M.D.
• Janene R Phillips, RN, FNP
• Leanne Marie Piche, PHARMD APH CDCES
• Kimberly Pierce
• Timothy Pilchard, MSPT
• Michael Richard Portillo, M.D.
• Dennis L Potapchuk
• Heather Price, PA-C

• Taxi in Sonora, CA
• Providers in Sonora, CA by specialty
• Taxi in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.