Individual provider Active NPI

Rodney E Ruge, DC

  • Chiropractor
  • Torrance, CA
National Provider Identifier
1164414108
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25268 Issued in CA
Practice address
25200 Crenshaw Blvd
Suite 101
Torrance, CA 90505-6130
Phone
(310) 325-2500
Fax
(310) 325-2524
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25268 CA Primary

Addresses

Primary practice location

25200 Crenshaw Blvd
Suite 101
Torrance, CA 90505-6130

Mailing address

25200 Crenshaw Blvd
Suite 101
Torrance, CA 90505-6130
Phone (310) 325-2500

Other identifiers 1

IdentifierTypeStateIssuer
DC25268OtherCASTATE LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180403000344 CA Practitioner - Chiropractic 6406036714 Practice locations: Torrance, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25268CAMDChiropractor
25268CAMDSonography Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1164414108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25200 CRENSHAW BLVD",
            "address_2": "SUITE 101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056130",
            "telephone_number": "310-325-2500",
            "fax_number": "310-325-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25200 CRENSHAW BLVD",
            "address_2": "SUITE 101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056130",
            "telephone_number": "310-325-2500",
            "fax_number": "310-325-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGE",
        "first_name": "RODNEY",
        "middle_name": "E",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DC25268",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.