Active NPI
Victor Ruiz, MD
- Family Medicine Physician
- Hemet, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 245156
- Practice address
- 1023 E Florida Ave
Hemet, CA 92543-4510 - Phone
- (951) 599-8403
- Fax
- (951) 766-0930
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 245156 | MA | Primary |
Addresses
Primary practice location
1023 E Florida Ave
Hemet, CA 92543-4510
Mailing address
1166 K St
Brawley, CA 92227-2737
Phone (760) 344-9951
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110086863A | Medicaid | MA | |
| J47858 | Other | MA | BLUE CROSS BLUE SHIELD |
| AA298325 | Other | MA | HARVARD PILGRIM |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
280 S Atlantic Blvd
Los Angeles, CA 90022-1733
Phone (323) 268-9191
284 S Atlantic Blvd
Los Angeles, CA 90022-1733
Phone (323) 268-9191
4755 E Cesar E Chavez Ave
Los Angeles, CA 90022-1209
Phone (323) 268-9191
501 S Atlantic Blvd
East Los Angeles, CA 90022-2621
501 S Woods Ave
Los Angeles, CA 90022-1976
Phone (323) 268-9191
5015 Whittier Blvd
Los Angeles, CA 90022-3116
Phone (323) 268-9191
5017 Whittier Blvd
East Los Angeles, CA 90022-3116
Phone (323) 268-9191
507 S Atlantic Blvd
Los Angeles, CA 90022-2621
Phone (323) 268-9191
607 S Atlantic Blvd
Los Angeles, CA 90022-3211
Phone (323) 268-9191
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245156 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Via Care Community Health Center | Current | Accepting new patients | |
| Clinicas de Salud del Pueblo, Inc | Current | Accepting new patients | |
| Clinicas de Salud del Pueblo Inc. | Current | Accepting new patients | |
| Via Care Community Health Center | Current | Accepting new patients | |
| Clinicas de Salud del Pueblo, Inc | Current | Accepting new patients | |
| Health Quality Inc. | Past | Accepting new patients |
Locations
321 W Hobsonway
Ste C
Blythe, CA 92225
Phone (760) 922-4981
1023 E Florida Ave
Hemet, CA 92543
Phone (951) 599-8403
507 S Atlantic Blvd
Los Angeles, CA 90022
Phone 32326891911067
4755 E Cesar E Chavez Ave
Ste A
Los Angeles, CA 90022
Phone (323) 262-4194
607 S Atlantic Blvd
Los Angeles, CA 90022
Phone (213) 327-7828
4755 E Cesar E Chavez Ave
Los Angeles, CA 90022
Phone (323) 262-4194
501 S Atlantic Blvd
Los Angeles, CA 90022
Phone (323) 268-5442
5015 Whittier Blvd
Los Angeles, CA 90022
Phone (323) 981-2930
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- victor.ruiz@vcc.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1497001226
-
- Federally Qualified Health Center (FQHC)
- El Centro, CA
- NPI 1346313889
-
- Community/Retail Pharmacy
- El Centro, CA
- NPI 1962045872
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1093138430
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1235577529
-
- Health Service Clinic/Center
- North Andover, MA
- NPI 1306384672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1619097730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 K ST",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922272737",
"telephone_number": "760-344-9951",
"fax_number": "760-344-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 E FLORIDA AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925434510",
"telephone_number": "951-599-8403",
"fax_number": "951-766-0930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "VICTOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "245156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110086863A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J47858",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA298325",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.