Dr Roderick Dean Ponath, MD - Psychiatry & Neurology in Tustin, CA

Dr Roderick Dean Ponath, MD is a Psychiatry & Neurology - Psychiatry physician based in Tustin, California. Dr Roderick Dean Ponath is licensed to practice in California (license number A25415) and his current practice location is 17291 Irvine Blvd, Suite 104, Tustin, California. He can be reached at his office (for appointments etc.) via phone at (415) 990-2502.

NPI number for Dr Roderick Dean Ponath is 1568669992 and his current mailing address is Po Box 447, San Quentin, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568669992.

Contact Information

Dr Roderick Dean Ponath, MD
17291 Irvine Blvd, Suite 104,
Tustin, CA 92780-2941
(415) 990-2502
(415) 461-2915

Map and Direction




Physician's Profile

Full NameDr Roderick Dean Ponath
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location17291 Irvine Blvd, Tustin, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568669992
  • Provider Enumeration Date: 06/29/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Roderick Dean Ponath such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568669992NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry A25415 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Roderick Dean Ponath is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Roderick Dean Ponath, MD
Po Box 447,
San Quentin, CA 94964-0447

Ph: (415) 990-2502
Dr Roderick Dean Ponath, MD
17291 Irvine Blvd, Suite 104,
Tustin, CA 92780-2941

Ph: (415) 990-2502

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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