Individual provider Active NPI

Ronald Howard Peltz, DPM

  • Podiatrist
  • Newport Beach, CA
National Provider Identifier
1932166865
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1451 Issued in CA
Practice address
1303 Avocado Ave
Suite #195
Newport Beach, CA 92660-7802
Phone
(949) 718-9878
Fax
(949) 718-9848
NPI assigned
Apr 26, 2006
Last updated
Feb 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E1451 CA Primary

Addresses

Primary practice location

1303 Avocado Ave
Suite #195
Newport Beach, CA 92660-7802

Mailing address

1303 Avocado Ave
Suite #195
Newport Beach, CA 92660-7802
Phone (949) 718-9878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1451CAMDPodiatrist
1451CAMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1932166865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 AVOCADO AVE",
            "address_2": "SUITE #195",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607802",
            "telephone_number": "949-718-9878",
            "fax_number": "949-718-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 AVOCADO AVE",
            "address_2": "SUITE #195",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607802",
            "telephone_number": "949-718-9878",
            "fax_number": "949-718-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTZ",
        "first_name": "RONALD",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.