Edward a. Ruiz MD, Professional Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A104554 Issued in CA

Legal business name

EDWARD A. RUIZ MD, PROFESSIONAL CORPORATION

Practice address

47110 Washington St Ste 203
La Quinta, CA 92253-2186

Phone

(760) 564-9205

Fax

(760) 771-6243

NPI assigned

Aug 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward Andrew Ruiz, MDNPI 1598961708

Title

Owner

Phone

(760) 564-9205

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward A Ruiz, MD

  • Family Medicine Physician
  • La Quinta, CA
  • NPI 1598961708
  Medicare reassignment Authorized official
• Francisco E Bringas-Jorgan, PA-C

  • Physician Assistant
  • Rancho Mirage, CA
  • NPI 1760406979
  Medicare reassignment
• Adela A Alvarez-Sotelo

  • Community Health Worker
  • La Quinta, CA
  • NPI 1275328296
  NPD
• Fernanda Aichel Lopez Siqueiros

  • Community Health Worker
  • La Quinta, CA
  • NPI 1518729862
  NPD
• Erica Michelle Ruiz, MD

  • Family Medicine Physician
  • La Quinta, CA
  • NPI 1215191184
  NPD
• Branka Vidic

  • Family Nurse Practitioner
  • La Quinta, CA
  • NPI 1164112942
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1003072620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7278",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922487278",
            "telephone_number": "760-564-9205",
            "fax_number": "760-771-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47110 WASHINGTON ST STE 203",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532186",
            "telephone_number": "760-564-9205",
            "fax_number": "760-771-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD A. RUIZ MD, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-03",
        "last_updated": "2024-05-23",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-564-9205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A104554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DTM Inc
• Eric Duran, RPH
• Christine Duranceau, MD
• Shanita Ebere
• Erika R Edney
• Efren F Wu MD Inc
• Liora Eidelstein, DDS, MS
• Eisenhower Medical Center
• Eisenhower Medical Center
• Eisenhower Medical Center

• Clinic/Center in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.