MR. EDUARDO DY RONQUILLO PA-C, PTA
NPI 1891833786
Physician Assistant - Surgical in Redlands, CA

Q: What is Eduardo Ronquillo's NPI number?

The NPI number for Eduardo Ronquillo is 1891833786. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Q: What is Eduardo Ronquillo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Eduardo Ronquillo was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 02, 2007PECOS EnrolledAccepts Medicare Assignment

1901 W LUGONIA AVE, SUITE 120, REDLANDS, CA 92374(909) 557-1600(909) 557-1732 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 27, 2021, Jan 4, 2017 (2 updates tracked since 2017).

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About Mr. Eduardo Dy Ronquillo Pa-c, Pta NPPES

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

MR. EDUARDO DY RONQUILLO PA-C, PTA (NPI 1891833786) is an individual surgical provider in Redlands, California, licensed in California (52160) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1891833786

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. EDUARDO DY RONQUILLOCredential: PA-C, PTA

Location Address1901 W LUGONIA AVE, SUITE 120Redlands, CA 92374-9703

Mailing Address1901 W Lugonia Ave, Suite 120Redlands, CA 92374-9703 · (909) 557-1600 · Fax (909) 557-1732

Phone(909) 557-1600

Fax(909) 557-1732

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateFebruary 2, 2007

Last NPPES UpdateDecember 27, 20212 updates tracked since enumeration

NPPES CertifiedDecember 27, 2021

✔ NPI 1891833786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · 52160

Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License AT 6459 (CA)

1901 W LUGONIA AVE, Redlands, CA 92374

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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 and accepts Medicare assignment

Mr. Eduardo Dy Ronquillo Pa-c, Pta is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496072282

PECOS Enrollment IDI20150316000111

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.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAROLD NEUENDORFF OTRL, CHT

Occupational Therapist

1901 W LUGONIA AVE, SUITE 240
REDLANDS, CA 92374

San Bernardino County (909) 557-1600

JESSICA A BATTERSON MSN, RN, FNP-BC

Nurse Practitioner (Family)

1901 W LUGONIA AVE
REDLANDS, CA 92374

San Bernardino County (909) 557-1650

RACHELLE C BENNIE OTR/L

Occupational Therapist

1901 W LUGONIA AVE, SUITE 130
REDLANDS, CA 92374

San Bernardino County (909) 557-1600

SARA DAVEY RN, CNOR, RNFA

Registered Nurse (Registered Nurse First Assistant)

1901 W LUGONIA AVE
REDLANDS, CA 92374

San Bernardino County (909) 557-1700

SAN BERNARDINO MEDICAL ORTHOPAEDIC GROUP, INC.

Orthopaedic Surgery

1901 W LUGONIA AVE, SUITE 120
REDLANDS, CA 92374

San Bernardino County (909) 557-1600

JAMALLE P STEINMANN NP

Nurse Practitioner

1901 W LUGONIA AVE, SUITE 120
REDLANDS, CA 92374

San Bernardino County (909) 557-1600

MATTHEW JOHN FRYDENDALL

Physician Assistant

1901 W LUGONIA AVE
REDLANDS, CA 92374

San Bernardino County (909) 557-1650

CLIFFORD E RICE PT, DPT, OCS

Physical Therapist (Orthopedic)

1901 W LUGONIA AVE, SUITE 130
REDLANDS, CA 92374

San Bernardino County (909) 557-1600

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 Eduardo Ronquillo's NPI number?

The NPI number for Eduardo Ronquillo is 1891833786. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Eduardo Ronquillo located?

Eduardo Ronquillo practices at 1901 W Lugonia Ave Suite 120, Redlands, CA 92374. The listed phone number is (909) 557-1600.

What is Eduardo Ronquillo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Eduardo Ronquillo enrolled in Medicare?

Yes. Eduardo Ronquillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Eduardo Ronquillo was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.