Rudolph Multi Specialty Medical Group

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

RUDOLPH MULTI SPECIALTY MEDICAL GROUP

Practice address

435 Orange Show LN Ste 208
San Bernardino, CA 92408-2032

Phone

(909) 483-3530

Fax

(909) 380-7741

NPI assigned

Nov 11, 2014

Organization subpart

No

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

Authorized official

Name

Claudia Duran, MANAGER

Title

Administration

Phone

(909) 483-3530

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1245636786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ORANGE SHOW LN STE 208",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082032",
            "telephone_number": "909-483-3530",
            "fax_number": "909-380-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ORANGE SHOW LN STE 208",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082032",
            "telephone_number": "909-483-3530",
            "fax_number": "909-380-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDOLPH MULTI SPECIALTY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "909-483-3530",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Rubio, LCSW
• Olivia Rubio
• Ulysses Rubio
• Hubert Lee Rucker Jr.
• Nadia Rudenko, R.D.
• Christina Nicole Rudolph
• Jaeden Marcus Rudulph
• Crystal Marie Ruedas
• Benita Ruffin
• Ada Uzabakiriho Ruhumuliza

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.