Individual provider Active NPI

Ruby Raya-Morones, M.D

  • Pediatrics Physician
  • La Habra, CA
National Provider Identifier
1164467791
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G51286 Issued in CA
Practice address
201 S. Harbor Blvd.
Vista Community Clinic
La Habra, CA 90631-5654
Phone
(562) 264-6000
Fax
(760) 414-3892
NPI assigned
Jun 18, 2006
Last updated
Jan 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G51286 CA Primary

Addresses

Primary practice location

201 S. Harbor Blvd.
Vista Community Clinic
La Habra, CA 90631-5654

Mailing address

1000 Val Terrace Dr.
Vista, CA 92084-5218
Phone (760) 631-5000

Other identifiers 1

IdentifierTypeStateIssuer
FHC70477FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Whittier Hospital Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Vista Community Clinic Past Accepting new patients
Caremore Medical Group Pediatrics Past Accepting new patients
Community Health Centers of the Central Coast Inc PastSince Dec 4, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ruby.rayamorones.p1@direct.cscla.nextgenshare.com
  • Direct secure messaging: ruby.rayamorones.p1@direct.scfhc.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1164467791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VAL TERRACE DR.",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845218",
            "telephone_number": "760-631-5000",
            "fax_number": "760-414-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S. HARBOR BLVD.",
            "address_2": "VISTA COMMUNITY CLINIC",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315654",
            "telephone_number": "562-264-6000",
            "fax_number": "760-414-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYA-MORONES",
        "first_name": "RUBY",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G51286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70477F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.