Ruben Ezquerro DPM Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4042 Issued in CA

Legal business name

RUBEN EZQUERRO DPM INC

Practice address

21500 Pioneer Blvd
Suite 107
Hawaiian Gardens, CA 90716-2600

Phone

(562) 402-5311

Fax

(562) 402-1407

NPI assigned

Feb 16, 2010

Organization subpart

No

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

Authorized official

Name

Ruben Ezquerro, DPM

Title

Owner

Phone

(562) 402-5311

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1184946386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8877",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927288877",
            "telephone_number": "562-402-5311",
            "fax_number": "562-402-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21500 PIONEER BLVD",
            "address_2": "SUITE 107",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907162600",
            "telephone_number": "562-402-5311",
            "fax_number": "562-402-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBEN EZQUERRO DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "EZQUERRO",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-402-5311",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E40421",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E40420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Ramirez
• Phyllis Pamela Ramirez, CAS
• Hugo Elton Rodriguez
• Paulette Marie Romain-Stave, PSY.D.
• Renee Camille Rowland, MFTI
• Rachel Russell
• Manuel Ramon Sacapano, M.D.
• Sahawneh Dental Corporation (Bright Now Dental - Hawaiian Gardens)
• Jasmin Salazar
• Rosalynda Saucedo, B.A, SLPA

• Foot & Ankle Surgery Podiatrist in Hawaiian Gardens, CA
• Providers in Hawaiian Gardens, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.