Individual provider Active NPI

Ervin Paul Ruzics, MD

  • Transplant Surgery Physician
  • Orange, CA
National Provider Identifier
1285789149
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
G51676 Issued in CA
Practice address
1100 W Stewart Dr
Seb, 2ND Floor
Orange, CA 92868-3849
Phone
(714) 771-8033
Fax
(714) 744-8803
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X G51676 CA Primary

Addresses

Primary practice location

1100 W Stewart Dr
Seb, 2ND Floor
Orange, CA 92868-3849

Mailing address

1100 W Stewart Dr
Seb, 2ND Floor
Orange, CA 92868-3849
Phone (714) 771-8033

Other identifiers 2

IdentifierTypeStateIssuer
00G516761MedicaidCA
G51676OtherCAMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110104000412 CA Practitioner - Urology 3870782071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Southern California Keck School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 W Stewart Dr
FL 2
Orange, CA 92868-3849
Phone (714) 771-8033

Hospital & facility affiliations

  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G51676CAMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ervin P. Ruzics, M.D., Inc. CurrentSince Jan 1, 2005 Accepting new patients
University Surgeons of Orange a Medical Group Transplant Surgery CurrentSince Jul 5, 2016 Accepting new patients

Locations

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

1100 W Stewart Dr
Fl 2
Orange, CA 92868
Phone (714) 771-8033

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1285789149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W STEWART DR",
            "address_2": "SEB, 2ND FLOOR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683849",
            "telephone_number": "714-771-8033",
            "fax_number": "714-744-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W STEWART DR",
            "address_2": "SEB, 2ND FLOOR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683849",
            "telephone_number": "714-771-8033",
            "fax_number": "714-744-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUZICS",
        "first_name": "ERVIN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "CA",
            "license": "G51676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G516761",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "G51676",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.