Organization Active NPI

Ronney S Shantouf MD Inc

  • Interventional Cardiology Physician
  • San Gabriel, CA
National Provider Identifier
1912386996
Registry record updated May 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A103399 Issued in CA
Legal business name
RONNEY S SHANTOUF MD INC
Practice address
207 S Santa Anita St Ste P15
San Gabriel, CA 91776-1165
Phone
(626) 576-1800
Fax
(626) 576-1808
NPI assigned
May 24, 2015
Last updated
May 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2015

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

Authorized official

Name
Dr. Ronney Sami Shantouf, M.D.
Title
Owner/Physician
Phone
(310) 431-8099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A103399 CA Primary

Addresses

Primary practice location

207 S Santa Anita St Ste P15
San Gabriel, CA 91776-1165

Mailing address

215 W 5TH St Apt 903
Los Angeles, CA 90013-2576

Other names 1

  • RONNEY S. SHANTOUF, M.D., INC. Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432425600000",
    "number": "1912386996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W 5TH ST APT 903",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S SANTA ANITA ST STE P15",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761165",
            "telephone_number": "626-576-1800",
            "fax_number": "626-576-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNEY S SHANTOUF MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-24",
        "last_updated": "2015-05-24",
        "status": "A",
        "authorized_official_last_name": "SHANTOUF",
        "authorized_official_first_name": "RONNEY",
        "authorized_official_middle_name": "SAMI",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "310-431-8099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A103399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RONNEY S. SHANTOUF, M.D., INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2015; 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.