Gustavo Enrique Ruiz, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A68519 Issued in CA

Practice address

9301 Wilshire Blvd Ste 201
Beverly Hills, CA 90210-6104

Phone

(310) 271-9880

Fax

(310) 271-8110

NPI assigned

Dec 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Alegria Medical Group

  • Psychiatry Physician
  • Beverly Hills, CA
  • NPI 1396861688
  NPD (past) Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639237886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD STE 201",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106104",
            "telephone_number": "310-271-9880",
            "fax_number": "310-271-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD STE 201",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106104",
            "telephone_number": "310-271-9880",
            "fax_number": "310-271-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "GUSTAVO",
        "middle_name": "ENRIQUE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A68519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan David Rudner, D.D.S.
• Lanny Rudner, MD
• Carla Ruggieri
• Kelli Rugless, PSY.D.
• Sofia Ruiz Maiz, APCC
• Joe Luis Ruiz, M.D.
• Marilyn Magida Ruman, PHD
• Elizabeth Ruminski, PT, DPT
• Rand Alan Rusher, RN
• Jessica Dawn Russell, CH.T, MA, NBC-HWC,

• Psychiatry Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.