Individual provider Active NPI

Ruquia Dost, PA-C

  • Physician Assistant
  • La Puente, CA
National Provider Identifier
1205039310
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 15434 Issued in CA
Practice address
15433 Amar Rd
La Puente, CA 91744-2803
Phone
(626) 336-3023
Fax
(626) 336-4353
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 15434 CA Primary

Addresses

Primary practice location

15433 Amar Rd
La Puente, CA 91744-2803

Mailing address

16325 McGill Rd
La Mirada, CA 90638-6210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111230000113 CA Practitioner - Physician Assistant 8224204912 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15434CAMDAcupuncturist
PA 15434CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Medica Latina, Inc CurrentSince Dec 9, 2019 Accepting new patients
Clinica Medica San Lorenzo, Inc. PastSince Apr 20, 2025 Accepting new patients

Locations

24805 Alessandro Blvd
Ste 8
Moreno Valley, CA 92553
Phone (951) 601-6618

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205039310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16325 MCGILL RD",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906386210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15433 AMAR RD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917442803",
            "telephone_number": "626-336-3023",
            "fax_number": "626-336-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOST",
        "first_name": "RUQUIA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 15434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

Verify at the official NPI Registry.