Leonardo Luis Ruiz Medina, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1100 Butte St
Redding, CA 96001-0852

Phone

(619) 830-1516

NPI assigned

Jun 14, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1407416142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10211 ATHENA CT",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919777142",
            "telephone_number": "619-830-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BUTTE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010852",
            "telephone_number": "619-830-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ MEDINA",
        "first_name": "LEONARDO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Rubalcava-Cunan, MD
• Daniel Eric Rubanowitz, PH.D.
• Amanda Sue Christine Rubert
• Janet Rudd, RN, BSN
• William R. Ruess, M.D.
• Calvin John Ruiz, MD
• Rosalie Ruiz
• Joanne Gale Runnels, REGISTERED NURSE
• Ruby Runyon, R.N.
• Nicole Christine Rupp, LCSW

• Student in an Organized Health Care Education/Training Program in Redding, CA
• Providers in Redding, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.