Rutu M Dave, MD
Individual provider Active NPI Neurology Physician · Orange, CA
NPI 1235767948 · NPPES record last updated Feb 12, 2025
Key facts
- NPI
- 1235767948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- A186901 (CA)
- Practice address
- 101 The City Dr S Ste 400
Orange, CA 92868-3201 - Phone
- (714) 456-5691
- Fax
- (714) 456-8874
- NPI assigned
- Mar 29, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Pennsylvania State University College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - Neurology PC
Practice addresses (Care Compare)
1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511
31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2200
Hospital & facility affiliations
- Desert Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250305000950 | CA | Practitioner - Neurology | 0042678922 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A186901 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Neurology PC | Neurology | Current |
Accepting new patients |
| Cep America - Neurology PC | Neurology | Current |
Accepting new patients |
| Cep America - Neurology PC | Neurology | Current | Accepting new patients |
| The Regents of the University of California-Irvine | Past |
Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A186901 | CA | Yes |
Addresses
Primary practice location
101 The City Dr S Ste 400
Orange, CA 92868-3201
Mailing address
118 Hazelwood Ave
Edison, NJ 08837-2327
Phone (732) 910-8593
Other providers in Orange, CA
- Patricia Marie Dauer
- Katherine Daugherty
- Jessica Beatrice Davalos
- Sophia Robles Davalos
- Veronica Davalos
- Gregory Davenport
- David B Stanton, MD
- David B. Ciminski, O.D.
- David B. Stanton M.D. & Associates, a Medical Group, Inc.
- David L. Bell, M.D., Inc.
All providers in Orange, CA · Neurology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.