Individual provider Active NPI

David Ruelas

  • Physical Therapist
  • West Hills, CA
National Provider Identifier
1669079489
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7301 Medical Center Dr Ste 209
West Hills, CA 91307-1922
Phone
(805) 530-3838
NPI assigned
Oct 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

7301 Medical Center Dr Ste 209
West Hills, CA 91307-1922

Mailing address

865 Patriot Dr Ste 202
Moorpark, CA 93021-3405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210311001617 CA Practitioner - Physical Therapist in Private Practice 5799191094 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Biomotion Physical Therapy PC Physical Therapist CurrentSince Oct 11, 2020 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Nov 22, 2021 Accepting new patients
Ruelas Physical Therapy, Professional Corporation Physical Therapist CurrentSince May 25, 2025 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Nov 22, 2021 Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

865 Patriot Dr
Ste 202
Moorpark, CA 93021
Phone (805) 530-3838

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

101 Hodencamp Rd
Ste 102
Thousand Oaks, CA 91360
Phone (805) 496-9944

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1669079489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 PATRIOT DR STE 202",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DR STE 209",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071922",
            "telephone_number": "805-530-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUELAS",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.