Active NPI
Robert F Ruper, MD
- Ophthalmology Physician
- Orange, CA
National Provider Identifier
1316992753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- C30076
- Practice address
- 436 S Glassell St
Orange, CA 92866-1906 - Phone
- (714) 633-6060
- Fax
- (714) 633-7470
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | C30076 | CA | Primary |
Addresses
Primary practice location
436 S Glassell St
Orange, CA 92866-1906
Mailing address
436 S Glassell St
Orange, CA 92866-1906
Phone (714) 633-6060
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ75971Z | Other | CA | BLUE SHIELD |
| 00C300760 | Medicaid | CA | |
| 5710517 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1316992753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 S GLASSELL ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928661906",
"telephone_number": "714-633-6060",
"fax_number": "714-633-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 S GLASSELL ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928661906",
"telephone_number": "714-633-6060",
"fax_number": "714-633-7470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPER",
"first_name": "ROBERT",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "C30076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ75971Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C300760",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5710517",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.