Ruben M Ruiz III Medical Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RUBEN M RUIZ III MEDICAL CENTER

Doing business as

Ruben M Ruiz III Medical Center

Practice address

3012 San Gabriel Blvd
Rosemead, CA 91770-2536

Phone

(626) 572-8692

Fax

(626) 572-9736

NPI assigned

Sep 27, 2014

Last updated

Apr 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruben M Ruiz III, M. D.NPI 1699701581

Title

President

Phone

(626) 593-1233

Specialties & licenses 2

Addresses

Other names 1

• Ruben M Ruiz III Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Ruben M Ruiz III Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ruben M Ruiz III Medical Center

  • Clinic Pharmacy
  • Rosemead, CA
  • NPI 1639525462
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ruben M Ruiz III, MD

  • General Practice Physician
  • Rosemead, CA
  • NPI 1699701581
  Medicare reassignment Authorized official
• Christine Mac, NP

  • Family Nurse Practitioner
  • Norwalk, CA
  • NPI 1104363720
  NPD
• John I Sam, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1033278031
  NPD

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

{
    "created_epoch": "1411776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1447653050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 SAN GABRIEL BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702536",
            "telephone_number": "626-572-8692",
            "fax_number": "626-572-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 SAN GABRIEL BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702536",
            "telephone_number": "626-572-8692",
            "fax_number": "626-572-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBEN M RUIZ III MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-27",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-593-1233",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ruben M Ruiz III Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosemead Medical Clinic
• Rosemead Pharmacy Inc
• Rosemead Surgical Services LLC
• Jay Jiayuan Ruan, LCSW
• Ruben M Ruiz III MD Inc
• Ruben M Ruiz III Medical Center
• Joni L. Rudesill, BFA
• Maria Ruiz
• Ruben M Ruiz III, MD
• Maria Saavedra, B. A.

• General Practice Physician in Rosemead, CA
• Providers in Rosemead, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.