Individual provider Active NPI

Ruskin Cua, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1114421963
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A164575 Issued in CA
Practice address
1983 Marengo St # D&T3D321
Los Angeles, CA 90033-1370
Phone
(323) 409-1000
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X A164575 CA Primary

Addresses

Primary practice location

1983 Marengo St # D&T3D321
Los Angeles, CA 90033-1370

Mailing address

1983 Marengo St # D&T3D321
Los Angeles, CA 90033-1370

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
I20240806000658 CA Practitioner - Diagnostic Radiology 4486191640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moran Rowen and Dorsey IncGroup PAC ID 9537063375, 35 clinicians

Practice addresses (Care Compare)

1031 W Chapman Ave
Orange, CA 92868-2872
Phone (714) 997-4762

1095 Irvine Blvd
Tustin, CA 92780-3526
Phone (714) 505-7110

1100 W Stewart Dr
St Joseph Hospital
Orange, CA 92868-3891
Phone (714) 771-8171

12942 Harbor Blvd
Garden Grove, CA 92840-5809
Phone (714) 705-2120

2212 E 4TH St
Santa Ana, CA 92705-3870
Phone (714) 571-7767

2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 628-3305

363 S Main St
Suite 115
Orange, CA 92868-3813
Phone (866) 598-0076

845 W la Veta Ave
Suite 105
Orange, CA 92868-3930
Phone (714) 639-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A164575CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moran Rowen and Dorsey Inc Diagnostic Radiology CurrentSince Jun 18, 2024 Accepting new patients

Locations

12942 Harbor Blvd
Garden Grove, CA 92840
Phone (714) 618-9540

31872 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-1311

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

26732 Crown Valley Pkwy
Ste 171
Mission Viejo, CA 92691
Phone (714) 364-3484

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

1140 W La Veta Ave
Ste 300
Orange, CA 92868
Phone (714) 744-8711

1010 W La Veta Ave
Ste 400
Orange, CA 92868
Phone (714) 734-6282

1140 W La Veta Ave
Orange, CA 92868
Phone (714) 744-8724

845 W La Veta Ave
Ste 105
Orange, CA 92868
Phone (714) 289-6565

2501 E Chapman Ave
Orange, CA 92869
Phone (714) 628-3300

2212 E 4th St
Santa Ana, CA 92705
Phone (714) 288-3230

1095 Irvine Blvd
Tustin, CA 92780
Phone (714) 505-7110

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1114421963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 MARENGO ST # D&T3D321",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 MARENGO ST # D&T3D321",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331370",
            "telephone_number": "323-409-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUA",
        "first_name": "RUSKIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A164575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.