Active NPI
Carlos Enrique Argote Ruiz, DENTIST
- General Practice Dentistry
- Redondo Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS109928
- Practice address
- 640 The VLG Unit 202
Redondo Beach, CA 90277-2726 - Phone
- (949) 529-4146
- NPI assigned
- Feb 10, 2025
- Last updated
- Oct 22, 2025
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS109928 | CA | Primary |
Addresses
Primary practice location
640 The VLG Unit 202
Redondo Beach, CA 90277-2726
Mailing address
640 The VLG Unit 202
Redondo Beach, CA 90277-2726
Phone (949) 529-4146
Other practice location 1
661 W 1st St Ste A
Tustin, CA 92780-2939
Phone (714) 665-9890
Other practice location 2
9918 Katella Ave Ste A-C
Anaheim, CA 92804-6465
Phone (714) 644-9494
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS109928 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Families Together of Orange County | Current | Accepting new patients | |
| Families Together of Orange County | Current | Accepting new patients | |
| Universa Medica Healh ,Inc | Past | Accepting new patients | |
| Families Together of Orange County | Past | Accepting new patients |
Locations
9918 Katella Ave
Ste Ac
Anaheim, CA 92804
Phone (714) 644-9494
661 W 1st St
Tustin, CA 92780
Phone (714) 665-9890
661 W 1st St
Ste A
Tustin, CA 92780
Phone (714) 665-1175
661 W 1st St
Ste G
Tustin, CA 92780
Phone (714) 665-9890
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Tustin, CA
- NPI 1194122457
-
- Federally Qualified Health Center (FQHC)
- Tustin, CA
- NPI 1861253080
-
- Federally Qualified Health Center (FQHC)
- Tustin, CA
- NPI 1114788239
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1114269404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1629883558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 THE VLG UNIT 202",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902772726",
"telephone_number": "949-529-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 THE VLG UNIT 202",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902772726",
"telephone_number": "949-529-4146"
}
],
"practiceLocations": [
{
"address_1": "661 W 1st St Ste A",
"address_purpose": "LOCATION",
"city": "Tustin",
"state": "CA",
"postal_code": "927802939",
"country_code": "US",
"telephone_number": "714-665-9890",
"fax_number": "714-665-9891",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9918 Katella Ave Ste A-C",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928046465",
"country_code": "US",
"telephone_number": "714-644-9494",
"fax_number": "714-644-9894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUIZ",
"first_name": "CARLOS ENRIQUE",
"middle_name": "ARGOTE",
"credential": "DENTIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-10",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS109928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.