Provider Demographics
NPI:1225046725
Name:ZAPPONE, RONALD ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:ANTHONY
Last Name:ZAPPONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7946 IVANHOE AVE
Mailing Address - Street 2:STE. 204
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-4517
Mailing Address - Country:US
Mailing Address - Phone:858-456-7072
Mailing Address - Fax:858-551-9252
Practice Address - Street 1:7946 IVANHOE AVE
Practice Address - Street 2:STE. 204
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-4517
Practice Address - Country:US
Practice Address - Phone:858-551-9254
Practice Address - Fax:858-551-9252
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG245622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G245620-3Medicaid
CA00G245620-3Medicaid
CAA90879Medicare UPIN