Provider Demographics
NPI:1578620472
Name:ENGLAND, RONALD GENE (DO)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:GENE
Last Name:ENGLAND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2145 COURT STREET
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2531
Mailing Address - Country:US
Mailing Address - Phone:530-243-7030
Mailing Address - Fax:530-241-1335
Practice Address - Street 1:2145 COURT STREET
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2531
Practice Address - Country:US
Practice Address - Phone:530-243-7030
Practice Address - Fax:530-241-1335
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8129207ZP0102X, 207ZC0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALAB00581FMedicaid
CAZZZ58543ZMedicaid
ZZZ94741ZMedicare PIN
CAI48487Medicare UPIN
I48487Medicare UPIN
CALAB00581FMedicaid