Ruben Osorio, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G081620 Issued in CA

Practice address

399 E Highland Ave Ste 319
San Bernardino, CA 92404-3858

Phone

(909) 881-7200

Fax

(909) 881-7289

NPI assigned

Oct 23, 2006

Sex

Male

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

General Surgery

Education

Loma Linda University School of Medicine, 1993

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Western Acute Care Surgeons IncGroup PAC ID 0143659862, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Western Acute Care Surgeons Inc

  • Surgery Physician
  • San Bernardino, CA
  • NPI 1417581059
  Medicare reassignment Care Compare group NPD Authorized official
• Ruben Osorio, M.D. Inc

  • Specialist
  • San Bernardino, CA
  • NPI 1144403411
  Medicare reassignment NPD Authorized official
• Community Hospital of San Bernardino

  • Pediatric Skilled Nursing Facility
  • San Bernardino, CA
  • NPI 1851395685
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  NPD (past)
• Rancho Cucamonga Community Hospital, LLC

  • General Acute Care Hospital
  • Rancho Cucamonga, CA
  • NPI 1568578110
  NPD (past)

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

• Dignity Health

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  Care Compare affiliation

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1073696845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE STE 319",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043858",
            "telephone_number": "909-881-7200",
            "fax_number": "909-881-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE STE 319",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043858",
            "telephone_number": "909-881-7200",
            "fax_number": "909-881-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSORIO",
        "first_name": "RUBEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G081620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G816200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyesha Osborne
• Mary Carmen Oseguera Navarro
• Irene Kathleen Oseguera
• Benita Hope Oshana, AMFT
• Lucero Armida Osorio
• Eduardo Osuna Jr.
• Osvaldo R. Garcia D.D.S. a Dental Corporation
• Adebimpe Elizabeth Otegbola, NP
• Nadia Eunises Otero-Suira
• Others International, Inc.

• Surgery Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.