Provider Demographics
NPI:1518977693
Name:COLE, RONALD JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JAMES
Last Name:COLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1700 ALHAMBRA BLVD
Mailing Address - Street 2:STE 202
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816
Mailing Address - Country:US
Mailing Address - Phone:916-731-8040
Mailing Address - Fax:916-454-4152
Practice Address - Street 1:1700 ALHAMBRA BLVD
Practice Address - Street 2:STE 202
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816
Practice Address - Country:US
Practice Address - Phone:916-731-8040
Practice Address - Fax:916-454-4152
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2012-11-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG20242207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0042240Medicaid
A40874Medicare UPIN
CAGR0042240Medicaid