Active NPI
Gregorio Ruelas, M.D.
- Family Medicine Physician
- Oxnard, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A95991
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A95991 | Other | CA | LICENSE 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
Enrollment records 1
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
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
- Assisted Home Care
- Mission Home Health of Ventura, LLC
- Livingston Memorial Visiting Nurse Association
- St Johns Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A95991 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Medical Group of Ventura County Inc | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Ventura, CA
- NPI 1417970849
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. John's Regional Medical Center
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
-
dba Livingston Memorial VNA
- Home Health Agency
- Ventura, CA
- NPI 1053315739
-
- Home Health Agency
- Oxnard, CA
- NPI 1871965970
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.