Dirk D Ruffin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G48041 Issued in CA

Practice address

26516 Crenshaw Blvd
Palos Verdes Estates, CA 90274-3970

Phone

(310) 541-7911

Fax

(310) 541-2953

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Western Health Community Clinic

  • Family Medicine Physician
  • Harbor City, CA
  • NPI 1134103930
  NPD

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467496778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26516 CRENSHAW BLVD",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902743970",
            "telephone_number": "310-541-7911",
            "fax_number": "310-541-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26516 CRENSHAW BLVD",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902743970",
            "telephone_number": "310-541-7911",
            "fax_number": "310-541-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFIN",
        "first_name": "DIRK",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G48041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G48041",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaine Marie Quintiliani, LMFT
• Raj a. Mittal, M.D., a Medical Corporation
• Ralphs Grocery Company (Ralphs Pharmacy)
• Rachel Hannako Rangwala, M.D.
• Fred Mark Rarick, M.D.
• Michael Schultz, D.D.S.
• Michael Shlens, MD
• Michael R Simon, DDS
• Slee Foot and Ankle, a Professional Corporation
• Julie Smith-Bolduc, ATC

• Family Medicine Physician in Palos Verdes Estates, CA
• Providers in Palos Verdes Estates, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.