Individual provider Active NPI

Arnold Rugama, MD

  • Sleep Medicine (Family Medicine) Physician
  • Fresno, CA
National Provider Identifier
1487656021
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
A603350 Issued in CA
Practice address
1660 E Herndon Ave Ste 102
Fresno, CA 93720-3346
Phone
(559) 840-2262
Fax
(559) 253-2808
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X A603350 CA Primary

Addresses

Primary practice location

1660 E Herndon Ave Ste 102
Fresno, CA 93720-3346

Mailing address

PO Box 28915
Fresno, CA 93729-8915
Phone (559) 840-2262

Other identifiers 1

IdentifierTypeStateIssuer
00A633500MedicaidCA

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
I20040401001153 CA Practitioner - Family Practice 9335131036 Practice locations: Fresno, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A603350CAMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sequoia Sleep Diagnostics Inc. CurrentSince Jul 16, 2019 Accepting new patients
Central California Faculty Medical Group, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1487656021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28915",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298915",
            "telephone_number": "559-840-2262",
            "fax_number": "559-253-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 E HERNDON AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203346",
            "telephone_number": "559-840-2262",
            "fax_number": "559-253-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGAMA",
        "first_name": "ARNOLD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A603350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A633500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.