Provider Demographics
NPI:1023211778
Name:RONALD S BATIN MD INC
Entity Type:Organization
Organization Name:RONALD S BATIN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BATIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-872-3175
Mailing Address - Street 1:6480 PENTZ RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-3672
Mailing Address - Country:US
Mailing Address - Phone:530-872-3175
Mailing Address - Fax:530-872-3106
Practice Address - Street 1:6480 PENTZ RD
Practice Address - Street 2:SUITE C
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969-3672
Practice Address - Country:US
Practice Address - Phone:530-872-3175
Practice Address - Fax:530-872-3106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG77080207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G770800Medicaid
CAG06577Medicare UPIN
CAZZZ23140ZMedicare ID - Type Unspecified