Organization Active NPI

Ruben Osorio, M.D. Inc

  • Specialist
  • San Bernardino, CA
National Provider Identifier
1144403411
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G81620 Issued in CA
Legal business name
RUBEN OSORIO, M.D. INC
Practice address
399 E Highland Ave Ste 319
San Bernardino, CA 92404-3858
Phone
(909) 820-7200
Fax
(801) 931-2044
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Ruben Osorio, M.D.NPI 1073696845
Title
Physician
Phone
(909) 820-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G81620 CA Primary

Addresses

Primary practice location

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

Mailing address

399 E Highland Ave Ste 319
San Bernardino, CA 92404-3858
Phone (909) 820-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080110000273 CA Part B Supplier - Clinic/Group Practice 6305926734 Receives reassigned benefits from 1 practitioner
Practice locations: San Bernardino, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

12223 Highland Ave
#537
Rch Cucamonga, CA 91739

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1144403411",
    "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": "909-820-7200",
            "fax_number": "801-931-2044"
        },
        {
            "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": "909-820-7200",
            "fax_number": "801-931-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBEN OSORIO, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "OSORIO",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "909-820-7200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G81620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.