Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Eduardo Dy Ronquillo, PA-C, PTA

Individual provider Physical Therapy Assistant · NPI 1891833786

Mr. Eduardo Dy Ronquillo, PA-C, PTA is a Physician Assistant in Redlands, California. Qualified in 2014, 12 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1901 W Lugonia Ave Ste 120
Redlands, CA 92374-9703
Phone: (909) 557-1600
Fax: (909) 557-1732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 52160 (CA)
Physical Therapy Assistant Taxonomy 225200000X · Licence AT 6459 (CA)

Record details

NPI number1891833786
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , PTA
Sole proprietorYes
NPI enumeratedFebruary 2, 2007
Last updated in NPPESDecember 27, 2021
Certification dateDecember 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Redlands