Organization Active NPI

Ruben Ruiz MD a Medical Corporation

  • Clinical Medical Laboratory
  • Ontario, CA
National Provider Identifier
1407006893
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLA314870 Issued in CA
Legal business name
RUBEN RUIZ MD A MEDICAL CORPORATION
Practice address
403 W F St
Ontario, CA 91762-3207
Phone
(909) 988-3288
Fax
(909) 988-6767
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Ruben Ruiz, MDNPI 1912901471
Title
Laboratory Director
Phone
(562) 201-2508

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
Clinical Medical Laboratory 291U00000X CLA314870 CA Primary

Addresses

Primary practice location

403 W F St
Ontario, CA 91762-3207

Mailing address

403 W F St
Ontario, CA 91762-3207
Phone (909) 988-3288

Other identifiers 2

IdentifierTypeStateIssuer
05D0879364OtherCLIA CERTIFICATE OF WAIVER
LAB79364FOtherCACLINICAL LABORATORY LICENSE

Other names 1

  • Ontario Clinica Medica Familiar Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0879364Ruben Ruiz, MD, a Medical Corporation403 West F Street, Ontario, CA 91762Certificate of waiverOct 17, 2026

National Provider Directory

National Provider Directory

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": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1407006893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W F ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623207",
            "telephone_number": "909-988-3288",
            "fax_number": "909-988-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W F ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623207",
            "telephone_number": "909-988-3288",
            "fax_number": "909-988-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBEN RUIZ MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "562-201-2508",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLA314870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE OF WAIVER",
            "identifier": "05D0879364",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LABORATORY LICENSE",
            "identifier": "LAB79364F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ontario Clinica Medica Familiar",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ontario Clinica Medica Familiar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.