Individual provider Active NPI

Menard Barruga, M.D.

  • Pediatric Critical Care Medicine Physician
  • Moreno Valley, CA
National Provider Identifier
1477546414
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
G66243 Issued in CA
Practice address
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone
(888) 350-2911
Fax
(702) 369-5827
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G66243 CA
Pediatric Critical Care Medicine Physician 2080P0203X G66243 CA Primary

Addresses

Primary practice location

26520 Cactus Ave
Moreno Valley, CA 92555-3927

Mailing address

3006 S Maryland Pkwy
505
Las Vegas, NV 89109-2218
Phone (702) 697-0082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20210721004271 MT Practitioner - Pediatric Medicine 2062461973 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Jul 21, 2021 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Jul 21, 2021 Accepting new patients
Swift'S Critical Care Network for Children Medical Group Pediatrics PastSince Jan 1, 1990 Accepting new patients
Swift'S Critical Care Network for Children Medical Group Pediatric Critical Care Medicine PastSince Jan 1, 1990 Accepting new patients
Swifts Critical Care Network for Children Medical Group Pediatric Critical Care Medicine PastSince Jan 1, 1990 Accepting new patients
Swift'S Critical Care Network for Children Medical Group Pediatric Critical Care Medicine PastSince Jan 1, 1990 Accepting new patients
SCL Health Montana Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

2900 12th Ave N
Ste 140W
Billings, MT 59101
Phone (406) 237-5050

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

Organizations & group practices 7

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1477546414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 S MARYLAND PKWY",
            "address_2": "505",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092218",
            "telephone_number": "702-697-0082",
            "fax_number": "702-369-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "888-350-2911",
            "fax_number": "702-369-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRUGA",
        "first_name": "MENARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G66243",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "CA",
            "license": "G66243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.