Individual provider Active NPI

Luis Eduardo Ruiz-Restrepo, M.D.

  • Pediatrics Physician
  • Tehachapi, CA
National Provider Identifier
1235550245
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C041382 Issued in CA
Practice address
116 W E St
Tehachapi, CA 93561-1608
Phone
(661) 822-1004
NPI assigned
Dec 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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 C041382 CA Primary

Addresses

Primary practice location

116 W E St
Tehachapi, CA 93561-1608

Mailing address

P.O. Box 663
116 West E Street
Tehachapi, CA 93581
Phone (661) 822-1004

Other identifiers 1

IdentifierTypeStateIssuer
1134294788MedicaidCA

Other names 1

  • Dr. Luis Eduardo Ruiz Other name

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C041382CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luis E Ruiz-Restrepo MD Inc Past Accepting new patients

Organizations & group practices 1

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": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1235550245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 663",
            "address_2": "116 WEST E STREET",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "93581",
            "telephone_number": "661-822-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W E ST",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935611608",
            "telephone_number": "661-822-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ-RESTREPO",
        "first_name": "LUIS",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C041382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134294788",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "RUIZ",
            "middle_name": "EDUARDO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tehachapi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.