Active NPI
Ruben Ruiz MD a Medical Corporation
- Clinical Medical Laboratory
- Ontario, CA
National Provider Identifier
1407006893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CLA314870
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruben Ruiz, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D0879364 | Other | CLIA CERTIFICATE OF WAIVER | |
| LAB79364F | Other | CA | CLINICAL LABORATORY LICENSE |
Other names 1
- Ontario Clinica Medica Familiar
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0879364 | Ruben Ruiz, MD, a Medical Corporation | Certificate of waiver | Oct 17, 2026 |
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.
-
- Specialist
- Rialto, CA
- NPI 1912901471
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.