Active NPI
Humberto Ruiz, D.D.S.
- Dentist
- Baldwin Park, CA
National Provider Identifier
1023147865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47168
- Practice address
- 4157 Maine Ave
Baldwin Park, CA 91706-3309 - Phone
- (626) 337-1506
- Fax
- (626) 337-3573
- NPI assigned
- Mar 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 47168 | CA | Primary |
Addresses
Primary practice location
4157 Maine Ave
Baldwin Park, CA 91706-3309
Mailing address
1839 Pinnacle Way
Upland, CA 91784
Phone (951) 833-7345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47168 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esther Valmana DDS, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Maine Dental Care
- General Practice Dentistry
- Baldwin Park, CA
- NPI 1174985360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023147865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 PINNACLE WAY",
"city": "UPLAND",
"state": "CA",
"postal_code": "91784",
"telephone_number": "951-833-7345",
"fax_number": "626-337-3573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4157 MAINE AVE",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063309",
"telephone_number": "626-337-1506",
"fax_number": "626-337-3573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "HUMBERTO",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "47168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwin Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.