Individual provider Active NPI

Antonio Ruelas, M.D.

  • Family Medicine Physician
  • Santa Paula, CA
National Provider Identifier
1477569655
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34343 Issued in CA
Practice address
258 E Harvard Blvd
Santa Paula, CA 93060-3372
Phone
(805) 525-8622
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A34343 CA Primary

Addresses

Primary practice location

258 E Harvard Blvd
Santa Paula, CA 93060-3372

Mailing address

5855 Olivas Park Dr
Ventura, CA 93003-7672
Phone (805) 667-2801

Other practice location 1

128 N 10th St
Santa Paula, CA 93060-2803
Phone (805) 525-5518

Other identifiers 1

IdentifierTypeStateIssuer
00A34343MedicaidCA

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
I20081120000874 CA Practitioner - Family Practice 8426118456 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34343CAMDOptometrist
A34343CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System CurrentSince Mar 1, 2016 Accepting new patients
Community Memorial Health System CurrentSince Mar 1, 2016 Accepting new patients
Community Memorial Health System Current Accepting new patients
Community Memorial Health System Past Accepting new patients
County of Ventura Past Accepting new patients

Locations

5800 Santa Rosa Rd
Ste 149
Camarillo, CA 93012
Phone (805) 465-8900

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

852 W Ventura St
Fillmore, CA 93015
Phone (805) 524-2672

655 Ventura Ave
Oak View, CA 93022
Phone (805) 649-3750

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

3641 W 5th St
Oxnard, CA 93030
Phone (805) 985-5505

2361 E Vineyard Ave
Oxnard, CA 93036
Phone (805) 981-3770

258 E Harvard Blvd
Santa Paula, CA 93060
Phone (805) 525-5518

242 E Harvard Blvd
Ste C
Santa Paula, CA 93060
Phone (805) 525-9595

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

2705 Loma Vista Rd
Ste 206
Ventura, CA 93003
Phone (805) 643-4067

120 N Ashwood Ave
Ventura, CA 93003
Phone (805) 658-5800

Interoperability endpoints

  • Direct secure messaging: aruelas3518237@oc.providencedirect.org
  • Direct secure messaging: antonioruelas@cfh.allscriptsdirect.net

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1477569655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 OLIVAS PARK DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037672",
            "telephone_number": "805-667-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 E HARVARD BLVD",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930603372",
            "telephone_number": "805-525-8622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 N 10th St",
            "address_purpose": "LOCATION",
            "city": "Santa Paula",
            "state": "CA",
            "postal_code": "930602803",
            "country_code": "US",
            "telephone_number": "805-525-5518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUELAS",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A34343",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

Verify at the official NPI Registry.