RONALD D FILLMORE CRNFA NPI 1003019282

Registered Nurse (Registered Nurse First Assistant) in Long Beach, CA

NPI 1003019282 Individual Male Registered Nurse Registered Nurse First Assistant

About RONALD FILLMORE

Ronald Fillmore is a provider established in Long Beach, California and his medical specialization is registered nurse (registered nurse first assistant) . The NPI number of Ronald Fillmore is 1003019282 and was assigned on June 2007. The practitioner's primary taxonomy code is 163WR0006X with license number 305990 (CA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

Ronald Fillmore is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003019282

Provider Name RONALD D FILLMORE CRNFA
Provider Location Address2776 PACIFIC AVE PACIFIC HOSPITAL OF LONG BEACH LONG BEACH, CA 90806
Provider Mailing AddressPO BOX 6580 LONG BEACH, CA 90806
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date06-06-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code163WR0006X
ClassificationRegistered Nurse
TypeNursing Service Providers
SpecializationRegistered Nurse First Assistant
License No.305990
License StateCA
Taxonomy DescriptionA perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon.

Business Address

RONALD D FILLMORE CRNFA
2776 PACIFIC AVE
PACIFIC HOSPITAL OF LONG BEACH
LONG BEACH, CA
ZIP 90806
Phone: (760) 534-9550
Fax: (951) 808-9700

Get Directions


Mailing Address

RONALD D FILLMORE CRNFA
PO BOX 6580
LONG BEACH, CA
ZIP 90806
Phone: (760) 534-9550
Fax: (951) 808-9700



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
305990OTHER (01)CA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366411217DR. ANGELINE CHANG BARNES M.D.
Individual
Anesthesiology2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2000
1164491783DR. TIM ZUNG TRI LE D.O.
Individual
Anesthesiology2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2000
1659340115DR. MARK DOYKOS M.D.
Individual
Anesthesiology2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2000
1891764205DR. THOMAS LAC HA-LONG M.D.
Individual
Anesthesiology2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2300
1679524870JJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA, INC.
Organization
Emergency Medicine2776 PACIFIC AVE EMERGENCY DEPARTMENT
LONG BEACH, CA 90806
(562) 595-1911
1568400463 CHRISTOPHER MCDOUGAL M.D.
Individual
Emergency Medicine2776 PACIFIC AVE EMERGENCY DEPARTMENT
LONG BEACH, CA 90806
(562) 595-1911
1184666398 STANLEY D. WILLIAMS M.D.
Individual
Emergency Medicine2776 PACIFIC AVE EMERGENCY DEPARTMENT
LONG BEACH, CA 90806
(562) 595-1911
1205878527 MARVIN C PRICHARD M.D.
Individual
Emergency Medicine2776 PACIFIC AVE EMERGENCY DEPARTMENT
LONG BEACH, CA 90806
(562) 997-2290
1861407637HEALTHSMART PACIFIC INC
Organization
General Acute Care Hospital2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 595-1911
1154421956MR. PAUL JOSEPH AGUIAR CRNA
Individual
Nurse Anesthetist, Certified Registered2776 PACIFIC AVE
LONG BEACH, CA 90806
(714) 973-2650
1538269337MS. SOO JA SONG CRNA
Individual
Chore Provider2776 PACIFIC AVE
LONG BEACH, CA 90806
(714) 935-0073
1881768653 LUKE R WATSON MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2232
1861533317MS. STEPHANIE ANNE ROHR CRNA
Individual
Nurse Anesthetist, Certified Registered2776 PACIFIC AVE
LONG BEACH, CA 90806
(714) 935-0073
1083839336MS. HEIDI A ENDERT P.T.
Individual
Physical Therapist2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2416
1689890543MR. KRISTOFFER FERRER
Individual
Physical Therapist2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-0552
1134346372 KRISTIN MARIE FIGUEROA-BLAND PT
Individual
Physical Therapist2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2416
1376751792MR. DANIEL JOSEPH LEWIS RPT
Individual
Physical Therapist2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2416
1972766129DR. VESNA TEMELKOVSKA M.D.
Individual
Anesthesiology2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2500
1962638270DR. KWAN-HWA WANG LIOU PHARM D
Individual
Pharmacist2776 PACIFIC AVE
LONG BEACH, CA 90806
(562) 997-2207
1306139910ANESTHESIA ASSISTED MEDICAL OPIATE DETOXIFICATION, INC.
Organization
Anesthesiology (Addiction Medicine)2776 PACIFIC AVE
LONG BEACH, CA 90806
(310) 205-0808

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.