Individual provider Active NPI

David Ruckle, MD

  • Orthopaedic Surgery Physician
  • Colton, CA
National Provider Identifier
1699338913
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A176835 Issued in CA
Practice address
400 N. Pepper Ave.
Mob 205
Colton, CA 92324
Phone
(909) 580-1000
NPI assigned
Apr 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A176835 CA Primary

Addresses

Primary practice location

400 N. Pepper Ave.
Mob 205
Colton, CA 92324

Mailing address

400 N. Pepper Ave.
Mob 205
Colton, CA 92324

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807004521 CA Practitioner - Orthopedic Surgery 4688015894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Bernardino Medical Orthopaedic Group IncGroup PAC ID 9335045228, 92 clinicians

Practice addresses (Care Compare)

1901 W Lugonia Ave
Suite 120 130
Redlands, CA 92374-9703
Phone (909) 557-1600

Hospital & facility affiliations

  • Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245
  • Riverside Community Hospital Hospital, Riverside, CA, CCN 050022
  • Redlands Community Hospital Hospital, Redlands, CA, CCN 050272

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
328134NYMDLicensed Practical Nurse
A176835CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Bernardino Medical Orthopaedic Group, Inc. Orthopaedic Surgery CurrentSince Aug 1, 2025 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. Orthopaedic Surgery CurrentSince Aug 1, 2025 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. Orthopaedic Surgery Past Accepting new patients

Locations

400 N Pepper Ave
#205
Colton, CA 92324
Phone (909) 331-9598

25395 Hancock Ave
Ste 250A
Murrieta, CA 92562

25395 Hancock Ave
Ste 250
Murrieta, CA 92562
Phone (951) 557-1600

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

1801 Orange Tree Ln
Ste 240
Redlands, CA 92374

1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964

1901 W Lugonia Ave
Redlands, CA 92374
Phone (714) 714-6019

1801 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 557-1607

1901 W Lugonia Ave
Ste 120
Redlands, CA 92374
Phone (909) 557-1626

1901 W Lugonia Ave
Ste 230240
Redlands, CA 92374

4234 Riverwalk Pkwy
Ste 200
Riverside, CA 92505
Phone (951) 977-2500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: druckle94031@direct.llu.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1699338913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N. PEPPER AVE.",
            "address_2": "MOB 205",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "92324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N. PEPPER AVE.",
            "address_2": "MOB 205",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "92324",
            "telephone_number": "909-580-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKLE",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A176835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.