Active NPI
Rutland Medical Group
- Pulmonary Disease Physician
- Newport Beach, CA
National Provider Identifier
1336799519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- RUTLAND MEDICAL GROUP
- Practice address
- 1501 Superior Ave
Newport Beach, CA 92663-3600 - Phone
- (949) 333-0464
- Fax
- (949) 333-0567
- NPI assigned
- Sep 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cedric James Franklin, MD
- Title
- Pulmonary/Critical Care Doctor
- Phone
- (916) 990-4797
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
1501 Superior Ave
Newport Beach, CA 92663-3600
Mailing address
2033 Aliso Canyon Dr
Lake Forest, CA 92610-3005
Phone (949) 333-0464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Riverside, CA
- NPI 1811122799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585267200000",
"number": "1336799519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2033 ALISO CANYON DR",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926103005",
"telephone_number": "949-333-0464",
"fax_number": "949-333-0567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SUPERIOR AVE",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633600",
"telephone_number": "949-333-0464",
"fax_number": "949-333-0567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUTLAND MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-19",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A",
"authorized_official_last_name": "FRANKLIN",
"authorized_official_first_name": "CEDRIC",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PULMONARY/CRITICAL CARE DOCTOR",
"authorized_official_telephone_number": "916-990-4797",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.