Provider Demographics
NPI:1194812842
Name:HIPOLITO, RONALDO B (MD)
Entity type:Individual
Prefix:
First Name:RONALDO
Middle Name:B
Last Name:HIPOLITO
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1020
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95201
Mailing Address - Country:US
Mailing Address - Phone:209-468-6937
Mailing Address - Fax:209-468-7042
Practice Address - Street 1:500 W. HOSPITAL RD.
Practice Address - Street 2:
Practice Address - City:FRENCH CAMP
Practice Address - State:CA
Practice Address - Zip Code:95231
Practice Address - Country:US
Practice Address - Phone:209-468-6937
Practice Address - Fax:209-468-7042
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2025-11-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA506912080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG88951Medicare UPIN