Healthcare Provider Details

I. General information

NPI: 1255993531
Provider Name (Legal Business Name): MAY THERESE RONCI AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2019
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42442 10TH ST W STE E
LANCASTER CA
93534-7067
US

IV. Provider business mailing address

41529 POPLAR CIR
PALMDALE CA
93551-2814
US

V. Phone/Fax

Practice location:
  • Phone: 661-951-1146
  • Fax: 661-951-9882
Mailing address:
  • Phone: 661-478-2302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95012096
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number95012096
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number95012096
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number95012096
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: