Individual provider Active NPI

Alberto Ruvalcaba, M.D.

  • Family Medicine Physician
  • Orosi, CA
National Provider Identifier
1598074338
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A112939 Issued in CA
Practice address
12586 Avenue 408
Orosi, CA 93647-9454
Phone
(877) 960-3426
Fax
(559) 737-4931
NPI assigned
Sep 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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 A112939 CA Primary

Addresses

Primary practice location

12586 Avenue 408
Orosi, CA 93647-9454

Mailing address

305 E Center Ave
Visalia, CA 93291-6331

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
I20111121000480 CA Practitioner - Family Practice 3375717739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherry ClinicGroup PAC ID 6002235223, 7 clinicians

Practice addresses (Care Compare)

40657 Rd
Suite 128
Cutler, CA 93615-2003
Phone (559) 390-0023

Hospital & facility affiliations

  • Adventist Health Home Care Services Home health agency, Hanford, CA, CCN 057477
  • Kaweah Health Home Health Home health agency, Visalia, CA, CCN 057255
  • Adventist Health Reedley Hospital, Reedley, CA, CCN 050192
  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A112939CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Clinic Family Medicine CurrentSince Oct 27, 2021 Accepting new patients
Central California Faculty Medical Group, Inc. Family Medicine Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

40657 Road 128
Cutler, CA 93615
Phone (559) 390-0023

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cherry ClinicCutler, CA, CCN 558909 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
General Partnership Interest
Corporate Officer
Corporate Director
W-2 Managing Employee
Jul 31, 2020
Jan 10, 2021
Jul 31, 2020
Jul 31, 2020
Jul 31, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1598074338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E CENTER AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12586 AVENUE 408",
            "city": "OROSI",
            "state": "CA",
            "postal_code": "936479454",
            "telephone_number": "877-960-3426",
            "fax_number": "559-737-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUVALCABA",
        "first_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-28",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A112939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orosi, CA

Sources for this page

Verify at the official NPI Registry.