Active NPI
Joe Luis Ruiz, M.D.
- Family Medicine Physician
- Beverly Hills, CA
National Provider Identifier
1487799219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G32589
- Practice address
- 9615 Brighton Way
Suite 332
Beverly Hills, CA 90210-5131 - Phone
- (310) 271-9177
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G32589 | CA | Primary |
Addresses
Primary practice location
9615 Brighton Way
Suite 332
Beverly Hills, CA 90210-5131
Mailing address
9615 Brighton Way
Suite 332
Beverly Hills, CA 90210-5131
Phone (310) 271-9177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G32589 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487799219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9615 BRIGHTON WAY",
"address_2": "SUITE 332",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105131",
"telephone_number": "310-271-9177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9615 BRIGHTON WAY",
"address_2": "SUITE 332",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105131",
"telephone_number": "310-271-9177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "JOE",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G32589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.