Organization Active NPI

US Medical Center

  • Family Medicine Physician
  • Stanton, CA
National Provider Identifier
1295766947
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
W17922 Issued in CA
Legal business name
US MEDICAL CENTER
Practice address
12679 Beach Blvd
Stanton, CA 90680-4007
Phone
(714) 379-8400
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard Dieter Ruth, M.D.NPI 1700804986
Title
Ceo
Phone
(714) 379-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X W17922 CA Primary

Addresses

Primary practice location

12679 Beach Blvd
Stanton, CA 90680-4007

Mailing address

12679 Beach Blvd
Stanton, CA 90680-4007
Phone (714) 379-8400

National Provider Directory

National Provider Directory

Locations

12679 Beach Blvd
Stanton, CA 90680
Phone (714) 379-8400

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295766947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12679 BEACH BLVD",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906804007",
            "telephone_number": "714-379-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12679 BEACH BLVD",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906804007",
            "telephone_number": "714-379-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUTH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DIETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-379-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "W17922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.