R Ruiz M D a Professional Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

R RUIZ M D A PROFESSIONAL CORPORATION

Doing business as

Clinica Medica Familiar y Dental

Practice address

833 W Whittier Blvd
Montebello, CA 90640-4735

Phone

(213) 276-6776

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Ruben Ruiz, MDNPI 1912901471

Title

Ceo/President

Phone

(562) 201-2508

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 2

• Clinica Medica Familiar y Dental Doing business as
• Montebello Clinica Medica Familiar Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruben Ruiz, M.D.

  • Specialist
  • Rialto, CA
  • NPI 1912901471
  Medicare reassignment Care Compare group Authorized official
• Julie Lam, M.D.

  • Internal Medicine Physician
  • Sylmar, CA
  • NPI 1144494659
  Medicare reassignment Care Compare group NPD
• Ferrin Katarina Ruiz, MD

  • Specialist
  • Montebello, CA
  • NPI 1477998870
  Medicare reassignment Care Compare group NPD
• Stacy Vanessa Luna, FNP-C

  • Family Nurse Practitioner
  • Montebello, CA
  • NPI 1144080946
  Medicare reassignment NPD
• Monica Diaz, PAC

  • Medical Physician Assistant
  • South Gate, CA
  • NPI 1316277700
  Medicare reassignment
• Emmanuel Sawaya, PA-C

  • Physician Assistant
  • Ontario, CA
  • NPI 1306074802
  Medicare reassignment
• Daniel E. Welburn, PA-C

  • Physician Assistant
  • Montebello, CA
  • NPI 1578704623
  Medicare reassignment

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1245261023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404735",
            "telephone_number": "323-712-4811",
            "fax_number": "844-302-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404735",
            "telephone_number": "213-276-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R RUIZ M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "562-201-2508",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G52245",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245261023",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Medica Familiar y Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montebello Clinica Medica Familiar",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ty Van Quach, PHARM.D.
• Kwei J Quartey, M.D.
• Yesenia Quesada
• Rosa Maria Quezada, M.A. CCC-SLP
• Nancy Quon
• R Ruiz M D a Professional Corporation
• Lathika Raakesh, MD
• Firoozeh Rahbar, DDS
• Savitri K Rambhatla, M.D.
• Ramin Shenavad Dental Corporation

• Primary Care Clinic/Center in Montebello, CA
• Providers in Montebello, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.