Individual provider Active NPI

Victor Ruiz, MD

  • Family Medicine Physician
  • Hemet, CA
National Provider Identifier
1619097730
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
245156 Issued in MA
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

Updated by the provider on Jul 21, 2022

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 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

IdentifierTypeStateIssuer
110086863AMedicaidMA
J47858OtherMABLUE CROSS BLUE SHIELD
AA298325OtherMAHARVARD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170816004658 CA Practitioner - Family Practice 7618162280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Via Care Community Health CenterGroup PAC ID 1052550365, 10 clinicians

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

LicenseStateTypeSpecialty
245156MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Via Care Community Health Center CurrentSince Sep 6, 2023 Accepting new patients
Clinicas de Salud del Pueblo, Inc Current Accepting new patients
Clinicas de Salud del Pueblo Inc. CurrentSince Jun 24, 2017 Accepting new patients
Via Care Community Health Center CurrentSince Sep 6, 2023 Accepting new patients
Clinicas de Salud del Pueblo, Inc CurrentSince Jun 24, 2017 Accepting new patients
Health Quality Inc. PastSince Mar 27, 2013 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.