Active NPI
Ruben Muradyan, MD
- Family Medicine Physician
- Riverside, CA
National Provider Identifier
1124001045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A51749
- Practice address
- 6405 Day St
Riverside, CA 92507-0901 - Phone
- (951) 697-5490
- Fax
- (951) 697-5496
- NPI assigned
- Nov 23, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A51749 | CA | Primary |
Addresses
Primary practice location
6405 Day St
Riverside, CA 92507-0901
Mailing address
3660 Arlington Ave
Riverside, CA 92506-3912
Phone (951) 782-5110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ92058Z | Other | GROUP SITE LOCATION |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6405 Day St
Riverside, CA 92507-0901
Phone (951) 697-5556
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51749 | CA | MD | Periodontist |
| A51749 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Medical Clinic, Inc | Current | Accepting new patients |
Locations
3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789
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.
-
- Dermatology Physician
- Riverside, CA
- NPI 1720183403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1124001045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 ARLINGTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063912",
"telephone_number": "951-782-5110",
"fax_number": "951-274-0403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 DAY ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925070901",
"telephone_number": "951-697-5490",
"fax_number": "951-697-5496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURADYAN",
"first_name": "RUBEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A51749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP SITE LOCATION",
"identifier": "ZZZ92058Z",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.