Ruth Suzanne Fontaine, M.D., M.A.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A41199 Issued in CA

Practice address

8879 Laurel Canyon Blvd
Suite C
Sun Valley, CA 91352-2959

Phone

(818) 252-2000

Fax

(818) 252-6896

NPI assigned

Dec 22, 2006

Last updated

Jan 24, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Medicine

State licenses

Practice roles

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.

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• Sport Central Osteopathic, a Medical Corporation

  dba Sport-Central Healthcare

  • Physical Medicine & Rehabilitation Physician
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  • NPI 1144557729

  General Practice

  NPD (past)
• Vitality Healthcare Medical Corp

  • Physical Medicine & Rehabilitation Physician
  • Encino, CA
  • NPI 1245298256
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1144384066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 HARBOR BLVD",
            "address_2": "80",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930354136",
            "telephone_number": "805-901-7644",
            "fax_number": "805-985-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8879 LAUREL CANYON BLVD",
            "address_2": "SUITE C",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522959",
            "telephone_number": "818-252-2000",
            "fax_number": "818-252-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "RUTH",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "A 41199",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A41199",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A41199",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A 41199",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Five Point Care, Inc
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• Jessica Marie Flores
• Jose Eduardo Flores
• Natalie Isabel Flores
• Valerie Fontanez
• Foothill Medical Transportation, Inc
• Anthony J Francis, M.D.
• Elizabeth Bustos Franco
• Franklin Hospice, Inc

• General Practice Physician in Sun Valley, CA
• Providers in Sun Valley, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.