Individual provider Active NPI

Gregorio Ruelas, M.D.

  • Family Medicine Physician
  • Oxnard, CA
National Provider Identifier
1447441092
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A95991 Issued in CA
Practice address
1751 Lombard St
Oxnard, CA 93030-8266
Phone
(805) 981-9111
Fax
(833) 916-2152
NPI assigned
Aug 8, 2007
Last updated
Mar 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A95991 CA Primary

Addresses

Primary practice location

1751 Lombard St
Oxnard, CA 93030-8266

Mailing address

10885 Telegraph Rd
Ventura, CA 93004-1272
Phone (805) 647-7704

Other identifiers 1

IdentifierTypeStateIssuer
A95991OtherCALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071008000378 CA Practitioner - Family Practice 1254426158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Medical Group of Ventura County IncGroup PAC ID 0345218160, 42 clinicians

Practice addresses (Care Compare)

10885 Telegraph Rd
Ventura, CA 93004-1272
Phone (805) 647-7704

117 Pirie Rd
Suite D
Ojai, CA 93023-3166
Phone (805) 646-7246

2772 Johnson Dr
Suite 200
Ventura, CA 93003-7262
Phone (805) 642-1430

3555 Loma Vista Rd
Suite 110
Ventura, CA 93003-3161
Phone (805) 653-0303

888 W Ventura Blvd
Suite a
Camarillo, CA 93010-8803
Phone (805) 383-7701

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A95991CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Group of Ventura County Inc Family Medicine CurrentSince Apr 23, 2011 Accepting new patients

Locations

1751 Lombard St
Oxnard, CA 93030
Phone (805) 981-2289

1751 Lombard St
#A
Oxnard, CA 93030
Phone (805) 981-9111

1751 Lombard St
Ste A
Oxnard, CA 93030
Phone (805) 981-2289

10885 Telegraph Rd
Ventura, CA 93004
Phone (805) 647-7704

2772 Johnson Dr
Ste 100
Ventura, CA 93003
Phone (805) 642-1430

3555 Loma Vista Rd
Ste 110
Ventura, CA 93003
Phone (805) 653-0303

Interoperability endpoints

  • Direct secure messaging: gregorio.ruelas.1@21226.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1447441092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10885 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930041272",
            "telephone_number": "805-647-7704",
            "fax_number": "805-647-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 LOMBARD ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308266",
            "telephone_number": "805-981-9111",
            "fax_number": "833-916-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUELAS",
        "first_name": "GREGORIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A95991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "A95991",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.