Active NPI
Ronald Glousman MD Medical Corporation
- Orthopaedic Surgery Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- RONALD GLOUSMAN MD MEDICAL CORPORATION
- Practice address
- 999 N Tustin Ave
Ste 114
Santa Ana, CA 92705-3528 - Phone
- (714) 508-1981
- Fax
- (866) 807-7466
- NPI assigned
- Jan 23, 2014
- 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
- Ronald Eric Glousman, MD
- Title
- President
- Phone
- (714) 313-1454
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X |
Addresses
Primary practice location
999 N Tustin Ave
Ste 114
Santa Ana, CA 92705-3528
Mailing address
PO Box 570627
Tarzana, CA 91357-0627
Phone (310) 659-9116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104897289 | Other | CA | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4510 Brockton Ave
Ste 385
Riverside, CA 92501
Phone (714) 508-1981
3579 Arlington Ave
Ste 300
Riverside, CA 92506
Phone (626) 529-5003
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Santa Ana, CA
- NPI 1104897289
Neuromusculoskeletal Medicine, Sports Medicine
-
- Surgery Physician
- Los Angeles, CA
- NPI 1215182910
-
- Surgical Oncology Physician
- Lancaster, CA
- NPI 1790944783
-
- Surgery Physician
- Torrance, CA
- NPI 1295889202
-
- Surgery Physician
- Riverside, CA
- NPI 1194928002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724112000000",
"number": "1922421171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 570627",
"city": "TARZANA",
"state": "CA",
"postal_code": "913570627",
"telephone_number": "310-659-9116",
"fax_number": "866-807-7466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 N TUSTIN AVE",
"address_2": "STE 114",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053528",
"telephone_number": "714-508-1981",
"fax_number": "866-807-7466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD GLOUSMAN MD MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-23",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A",
"authorized_official_last_name": "GLOUSMAN",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "ERIC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-313-1454",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1104897289",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.