Individual provider Active NPI

Claudia Eppele, MD

  • Family Medicine Physician
  • Costa Mesa, CA
National Provider Identifier
1285892109
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A110633 Issued in CA
Practice address
2900 Bristol St Ste B205
Costa Mesa, CA 92626-5948
Phone
(855) 867-5551
Fax
(855) 867-5551
NPI assigned
May 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X A51933 CA
Family Medicine Physician 207Q00000X A110633 CA Primary

Addresses

Primary practice location

2900 Bristol St Ste B205
Costa Mesa, CA 92626-5948

Mailing address

2900 Bristol St Ste B205
Costa Mesa, CA 92626-5948
Phone (855) 867-5551

Other names 1

  • Dr. Claudia Gonzalez-Ruiz Other name

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
I20110121000098 CA Practitioner - Family Practice 5890974992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Partners, a Medical GroupGroup PAC ID 2769388412, 236 clinicians

Practice addresses (Care Compare)

5122 Katella Ave
Los Alamitos, CA 90720-2826
Phone (562) 594-8555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110633CAMDFamily Medicine Physician
A51933CAMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Fitness Medical Corporation Multi-Specialty CurrentSince Sep 1, 2024 Accepting new patients
Prohealth Partners, a Medical Group, Inc. Multi-Specialty CurrentSince Dec 1, 2010 Accepting new patients
TMS Wellness Group Multi-Specialty Current Accepting new patients
Prohealth Partners a Medical Group Multi-Specialty CurrentSince Dec 1, 2010 Accepting new patients
E-Legacy Apc Multi-Specialty CurrentSince Jan 1, 2024 Accepting new patients
Prohealth Partners, a Medical Group Multi-Specialty Current Accepting new patients
Prohealth Partners, a Medical Group, Inc. Multi-Specialty PastSince Jul 31, 2023 Accepting new patients
Prohealth Partners a Medical Group Inc Multi-Specialty Past Accepting new patients

Locations

2900 Bristol St
Ste 201
Costa Mesa, CA 92626
Phone (949) 271-7920

2900 Bristol St
Ste B201
Costa Mesa, CA 92626
Phone (855) 857-5551

2900 Bristol St
Ste B203
Costa Mesa, CA 92626
Phone (855) 867-5551

18726 S Western Ave
Ste 409
Gardena, CA 90248
Phone (310) 329-4835

12131 Carson St
Hawaiian Gardens, CA 90716
Phone (562) 809-0299

17822 Beach Blvd
Ste 373
Huntington Beach, CA 92647
Phone (714) 848-3333

5750 Downey Ave
Ste 100
Lakewood, CA 90712
Phone (562) 630-3105

3939 Atlantic Ave
Ste 102
Long Beach, CA 90807
Phone (562) 263-4733

5122 Katella Ave
Ste 308
Los Alamitos, CA 90720
Phone (562) 594-8555

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

4419 Van Nuys Blvd
Ste 302
Sherman Oaks, CA 91403
Phone (818) 995-1032

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1285892109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST STE B205",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265948",
            "telephone_number": "855-867-5551",
            "fax_number": "855-867-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST STE B205",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265948",
            "telephone_number": "855-867-5551",
            "fax_number": "855-867-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPELE",
        "first_name": "CLAUDIA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "A51933",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A110633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "GONZALEZ-RUIZ",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.