Horst R Rudrich, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A5970 Issued in CA

Practice address

255 Terracina Blvd
Ste. 105
Redlands, CA 92373-4870

Phone

(909) 793-0323

Fax

(909) 793-9173

NPI assigned

Aug 20, 2006

Last updated

Feb 19, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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.

• Horst R. Rudrich Medical Corporation

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1740452259
  Authorized official Same address or phone

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1053426957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 EDGEHILL LN",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736523",
            "telephone_number": "909-798-3061",
            "fax_number": "909-793-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 TERRACINA BLVD",
            "address_2": "STE. 105",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734870",
            "telephone_number": "909-793-0323",
            "fax_number": "909-793-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDRICH",
        "first_name": "HORST",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00AX59700",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX59700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giorgio Roveran, M.D.
• Rowi Rancho Cucamonga LLC (ROWI Redlands)
• RSM Solutions and Services
• Berta Margarita Rubio, MD
• Monica Elise Ruby
• Christina Ruiz
• Cynthia E Ruiz, M.D.
• Andrew Wray Russ, PA-C
• Russell Seheult, D.D.S., a Professional Corporation (Redlands Dental Surgery Center)
• Billy Allen Russell Jr.

• Family Medicine Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.