Individual provider Active NPI

David Ruiz, MD

  • Family Medicine Physician
  • Pismo Beach, CA
National Provider Identifier
1003826884
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G73238 Issued in CA
Practice address
931 Oak Park Blvd
Pismo Beach, CA 93449-3402
Phone
(805) 474-2600
Fax
(805) 474-2607
NPI assigned
Aug 8, 2006
Last updated
May 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G73238 CA Primary

Addresses

Primary practice location

931 Oak Park Blvd
Pismo Beach, CA 93449-3402

Mailing address

931 Oak Park Blvd
Pismo Beach, CA 93449-3402
Phone (805) 474-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100727000578 CA Practitioner - Family Practice 0749238798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arroyo Medical Group, IncGroup PAC ID 5698723641, 5 clinicians

Practice addresses (Care Compare)

931 Oak Park Blvd
Suite 101
Pismo Beach, CA 93449-3403
Phone (805) 474-2600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions26
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G73238CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arroyo Medical Group, Inc Family Medicine CurrentSince Sep 1, 1995 Accepting new patients
Dignity Health Past Accepting new patients

Locations

931 Oak Park Blvd
Pismo Beach, CA 93449
Phone (805) 473-6650

931 Oak Park Blvd
Ste 101
Pismo Beach, CA 93449
Phone (805) 474-2600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: david.ruiz.1@19994.direct.athenahealth.com
  • Direct secure messaging: druiz@amg.gwaydirect.com
  • FHIR API: https://api.platform.athenahealth.com/19994/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1003826884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 OAK PARK BLVD",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493402",
            "telephone_number": "805-474-2600",
            "fax_number": "805-474-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 OAK PARK BLVD",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493402",
            "telephone_number": "805-474-2600",
            "fax_number": "805-474-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G73238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pismo Beach, CA

Sources for this page

Verify at the official NPI Registry.