David A Ruckman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G67884 Issued in CA

Practice address

2141 N Harbor Blvd Ste 25000
Fullerton, CA 92835-3830

Phone

(714) 626-8650

Fax

(714) 626-8694

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

George Washington University School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence at Home With Compassus Home Health, Orange County South Home health agency, Irvine, CA, CCN 058238
• Elegance Healthcare, Inc Home health agency, Encino, CA, CCN 553107
• Providence at Home With Compassus Home Health Orange County Home health agency, Anaheim, CA, CCN 057600
• Del Rosa Home Health, Inc. Home health agency, Corona, CA, CCN 559168
• Providence Home Health Inland Empire Home health agency, Pomona, CA, CCN 557718
• Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168
• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762
  Medicare reassignment Care Compare group NPD
• Providence Medical Foundation

  • Family Medicine Physician
  • Mission Viejo, CA
  • NPI 1427305960
  NPD
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CP Orange County S-Ca HH, LLC

  • Home Health Agency
  • Anaheim, CA
  • NPI 1588486716
  Care Compare affiliation
• CP Orange County South S-Ca HH, LLC

  • Home Health Agency
  • Irvine, CA
  • NPI 1396567533
  Care Compare affiliation
• Del Rosa Home Health, Inc.

  • Home Health Agency
  • Corona, CA
  • NPI 1740719681
  Care Compare affiliation
• Elegance Healthcare, Inc.

  • Home Health Agency
  • Encino, CA
  • NPI 1396117982
  Care Compare affiliation
• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279
  Care Compare affiliation
• St Jude Hospital Inc

  • General Acute Care Hospital
  • Brea, CA
  • NPI 1891904942
  Care Compare affiliation
• St. Joseph Health System Home Care Services

  • Home Health Agency
  • Walnut, CA
  • NPI 1356706329
  Care Compare affiliation
• St. Joseph Health System Home Care Services LLC

  • Home Health Agency
  • Pomona, CA
  • NPI 1649475948
  Care Compare affiliation

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1285620658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 N HARBOR BLVD STE 25000",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353830",
            "telephone_number": "714-626-8650",
            "fax_number": "714-626-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 N HARBOR BLVD STE 25000",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353830",
            "telephone_number": "714-626-8650",
            "fax_number": "714-626-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKMAN",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G67884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "druckman1373171@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2141 N Harbor Blvd Ste 25000",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928353830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "druckman1373171@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "101 E Valencia Mesa Dr",
            "city": "Fullerton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928353809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alysta Emily Rubalcava
• Jasmine G Rubin
• Michael P. Rubinstein, M.D.
• James R Ruby, LMHC
• Dominick Rucireta, COTA
• Kyle Vincent Ruebel
• Jesus Emiliano Rueda Ayala
• Alexis Ruiz
• Amanda Celine Ruiz
• April Ruiz

• Internal Medicine Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.