Individual provider Active NPI

Cara Bailey Ruiz, M.D.

  • Pediatrics Physician
  • Orange, CA
National Provider Identifier
1457458135
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G68455 Issued in CA
Practice address
1920 E Katella Ave
Suite M
Orange, CA 92867-5146
Phone
(714) 633-7111
Fax
(714) 633-2903
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G68455 CA Primary

Addresses

Primary practice location

1920 E Katella Ave
Suite M
Orange, CA 92867-5146

Mailing address

1920 E Katella Ave
Suite M
Orange, CA 92867-5146
Phone (714) 633-7111

Other identifiers 1

IdentifierTypeStateIssuer
G68455MedicaidCA

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
I20141027000825 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6406077973

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68455CAMDPharmacist
G68455CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Orange Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
Children's Hospital of Orange County Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Rofim Medical Group, Inc. Pediatrics Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457458135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E KATELLA AVE",
            "address_2": "SUITE M",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675146",
            "telephone_number": "714-633-7111",
            "fax_number": "714-633-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E KATELLA AVE",
            "address_2": "SUITE M",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675146",
            "telephone_number": "714-633-7111",
            "fax_number": "714-633-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CARA",
        "middle_name": "BAILEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G68455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G68455",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.