Active NPI
Ronney S Shantouf MD Inc
- Interventional Cardiology Physician
- San Gabriel, CA
National Provider Identifier
1912386996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- A103399
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider DirectoryNPI 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.