Individual provider Active NPI

Wendy Elaine Ruggeri, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1447482062
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N6628 Issued in TX
Practice address
9710 National Blvd
Los Angeles, CA 90034-2703
Phone
(310) 980-4137
NPI assigned
Aug 15, 2009
Last updated
Oct 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 254252 NY
Emergency Medicine Physician 207P00000X A116900 CA
Emergency Medicine Physician 207P00000X N6628 TX Primary

Addresses

Primary practice location

9710 National Blvd
Los Angeles, CA 90034-2703

Mailing address

9710 National Blvd
Los Angeles, CA 90034-2703

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
I20110810000372 CA Practitioner - Emergency Medicine 4688863210 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116900CAMDClinical Social Worker
A116900CAMDEmergency Medicine Physician
254252NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redondo Emergency Physicians, Inc. Emergency Medicine CurrentSince Aug 1, 2011 Accepting new patients
Golden State Emergency Physicians Inc Emergency Medicine CurrentSince Aug 1, 2011 Accepting new patients
Victory Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Feb 20, 2014 Accepting new patients
Questcare Acute Services PLLC Emergency Medicine Past Accepting new patients

Locations

1145 W Redondo Beach Blvd
Gardena, CA 90247
Phone (310) 532-4200

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

Interoperability endpoints

  • Direct secure messaging: wendy.ruggeri.1@25843.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1250294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1447482062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 NATIONAL BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 NATIONAL BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342703",
            "telephone_number": "310-980-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGERI",
        "first_name": "WENDY",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-15",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "254252",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A116900",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N6628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.