Individual provider Active NPI

Carlos Enrique Argote Ruiz, DENTIST

  • General Practice Dentistry
  • Redondo Beach, CA
National Provider Identifier
1629883558
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS109928 Issued in CA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250715003823 CA Practitioner - Dentist 2163937442 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS109928CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Families Together of Orange County CurrentSince Jun 1, 2025 Accepting new patients
Families Together of Orange County CurrentSince Jun 1, 2025 Accepting new patients
Universa Medica Healh ,Inc Past Accepting new patients
Families Together of Orange County PastSince Jan 21, 2024 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.

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

Verify at the official NPI Registry.