Kateryna Ruban, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

112122 Issued in CA

Practice address

2104 Pacific Coast Hwy
Lomita, CA 90717-2584

Phone

(310) 539-1111

NPI assigned

Sep 2, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Javid and Nadi Dental Corporation

  • Oral and Maxillofacial Surgery Clinic/Center
  • Lomita, CA
  • NPI 1629413547

  Dentist

  NPD (past)

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1669351730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 PACIFIC COAST HWY",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172584",
            "telephone_number": "310-539-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 PACIFIC COAST HWY",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172584",
            "telephone_number": "310-539-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBAN",
        "first_name": "KATERYNA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "112122",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "112122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Med Solutions LLC
• Leny Maritza Rodriguez
• Wendy Rodriguez
• Ronald CW Kim Dental Inc
• Kathleen Ruano
• Danielle Rose Ruggiero, RPA-C
• Salute Hospice Inc
• Nikole Sayula
• Adrienne Marie Scruggs
• Sabrina Gwendolyn Serrano

• General Practice Dentistry in Lomita, CA
• Providers in Lomita, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.