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MR. RONALD REDOBLADO D.D.S.
NPI 1336204866
Dentist - General Practice in Azusa, CA

Active since December 26, 2006PECOS Enrolled
29 MOUNTAIN LAUREL WAY, AZUSA, CA 91702(626) 905-9501 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2020, Nov 6, 2019 (2 updates tracked since 2019).

About Mr. Ronald Redoblado D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RONALD REDOBLADO D.D.S. (NPI 1336204866) is an individual general practice provider in Azusa, California, licensed in California (51642) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336204866
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. RONALD REDOBLADOCredential: D.D.S.
Location Address29 MOUNTAIN LAUREL WAYAzusa, CA 91702-6265
Mailing Address29 Mountain Laurel WayAzusa, CA 91702-6265
Phone(626) 905-9501
Sole ProprietorYes
Enumeration DateDecember 26, 2006
Last NPPES UpdateJanuary 13, 20202 updates tracked since enumeration
✔ NPI 1336204866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 51642
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
29 MOUNTAIN LAUREL WAY, Azusa, CA 91702
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ronald Redoblado D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronald Redoblado's NPI number?

The NPI number for Ronald Redoblado is 1336204866. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Ronald Redoblado located?

Ronald Redoblado practices at 29 Mountain Laurel Way, Azusa, CA 91702. The listed phone number is (626) 905-9501.

What is Ronald Redoblado's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ronald Redoblado enrolled in Medicare?

Yes. Ronald Redoblado is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ronald Redoblado was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.