Organization Active NPI

Ronald Bangsil MD PC

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1962604264
Registry record updated Nov 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A66106 Issued in CA
Legal business name
RONALD BANGSIL MD PC
Practice address
408 S Beach Blvd
Suite 111
Anaheim, CA 92804-1866
Phone
(714) 226-0770
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2017

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

Authorized official

Name
Dr. Ronald Bangsil, MD
Title
Ceo/Medical Director
Phone
(714) 226-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A66106 CA Primary

Addresses

Primary practice location

408 S Beach Blvd
Suite 111
Anaheim, CA 92804-1866

Mailing address

21 Mariner CV
Buena Park, CA 90621-1662
Phone (714) 226-0770

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511481600000",
    "number": "1962604264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MARINER CV",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211662",
            "telephone_number": "714-226-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD",
            "address_2": "SUITE 111",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041866",
            "telephone_number": "714-226-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD BANGSIL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2017-11-24",
        "status": "A",
        "authorized_official_last_name": "BANGSIL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-226-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A66106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2017; 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.