Carmen Ruiz, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

C146537 Issued in CA

Practice address

222 W Eulalia St Ste 100a
Glendale, CA 91204-2850

Phone

(818) 244-8161

NPI assigned

Jan 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Colorectal Surgery (Proctology)Also: General Surgery

Education

Harvard Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
• St Mary Medical Center Hospital, Long Beach, CA, CCN 050191

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: carmen.ruiz@direct.stjohnhealthsystem.com

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

• Carmen Ruiz MD Inc

  • Colon & Rectal Surgery Physician
  • Glendale, CA
  • NPI 1407514169
  Medicare reassignment NPD Authorized official
• Dignity Health

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  NPD (past)
• Ahs Hillcrest Medical Center, LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1629057229
  NPD (past)
• St John Medical Center Inc

  • Psychiatric Hospital Unit
  • Tulsa, OK
  • NPI 1144306382
  NPD (past)
• St Mary Medical Center

  • Family Medicine Physician
  • Bensalem, PA
  • NPI 1083622286
  NPD (past)

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

• Dignity Community Care

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1477610640
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1194840421
  Care Compare affiliation

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1003886490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST STE 100A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042850",
            "telephone_number": "818-244-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST STE 100A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042850",
            "telephone_number": "818-244-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CARMEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "C146537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200019610B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Ruiz Cifuentes
• Alexis Ruiz
• Amado Ruiz, RBT, MS.
• Angelica Ruiz
• Bertha Ruiz, M.S.
• Tiffanie Camille Ruiz, NP
• Richard L Rupp
• Russel R Jacinto DMD Inc
• Lee Russell
• Ryan J Russell

• Colon & Rectal Surgery Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Colon & Rectal Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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; Order and Referring.
• 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.