Individual provider Active NPI

Alexander Judson Moore Ruby, MD

  • Emergency Medicine Physician
  • El Segundo, CA
National Provider Identifier
1366822348
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A159865 Issued in CA
Practice address
898 N Pacific Coast Hwy Ste 600
El Segundo, CA 90245-2747
Phone
(310) 379-2134
NPI assigned
Jun 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 125067303 IL
Emergency Medicine Physician 207P00000X A159865 CA Primary

Addresses

Primary practice location

898 N Pacific Coast Hwy Ste 600
El Segundo, CA 90245-2747

Mailing address

898 N Pacific Coast Hwy Ste 600
El Segundo, CA 90245-2747
Phone (310) 379-2134

Other practice location 1

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 864-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191105003093 CA Practitioner - Emergency Medicine 2961795265 Reassigns benefits to 4 organizations
I20251112003688 TX Practitioner - Emergency Medicine 2961795265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box PH
Chinle, AZ 86503

PO Box PH
Chinle, AZ 86503-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.64 of 100Reported as group
Quality
80.76
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A159865CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Oct 24, 2025 Accepting new patients
Valley Presbyterian Emergency Medical Associates Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Telemedicine365 Inc Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Sherman Oaks Emergency Medical Associates Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Oct 24, 2025 Accepting new patients
Tarzana Emergency Medical Associates Emergency Medicine CurrentSince May 8, 2020 Accepting new patients
Pacific Coast Emergency Medical Associates, Inc Emergency Medicine CurrentSince Aug 25, 2021 Accepting new patients

Locations

898 N Pacific Coast Hwy
Ste 600
El Segundo, CA 90245
Phone (310) 698-5254

2776 Pacific Ave
Long Beach, CA 90806
Phone (562) 595-1911

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561

Organizations & group practices 7

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1366822348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 N PACIFIC COAST HWY STE 600",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452747",
            "telephone_number": "310-379-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 N PACIFIC COAST HWY STE 600",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452747",
            "telephone_number": "310-379-2134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123714",
            "country_code": "US",
            "telephone_number": "312-864-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBY",
        "first_name": "ALEXANDER",
        "middle_name": "JUDSON MOORE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125067303",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A159865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.