Organization Active NPI

Neil D. Rudo, M.D., a Professional Corporation

  • Surgery Physician
  • Salinas, CA
National Provider Identifier
1174552855
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G32385 Issued in CA
Legal business name
NEIL D. RUDO, M.D., A PROFESSIONAL CORPORATION
Practice address
236 San Jose St
Salinas, CA 93901-3901
Phone
(831) 424-7389
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Neil D Rudo, M.D.
Title
Owner
Phone
(559) 436-0871

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X G77558 CA
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X G32385 CA Primary

Addresses

Primary practice location

236 San Jose St
Salinas, CA 93901-3901

Mailing address

PO Box 3656
Pinedale, CA 93650-3656
Phone (559) 436-0871

Other identifiers 1

IdentifierTypeStateIssuer
1083650782OtherNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1174552855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3656",
            "city": "PINEDALE",
            "state": "CA",
            "postal_code": "936503656",
            "telephone_number": "559-436-0871",
            "fax_number": "559-436-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 SAN JOSE ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013901",
            "telephone_number": "831-424-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL D. RUDO, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "RUDO",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-436-0871",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G77558",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G32385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083650782",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.