Ruben M Ruiz III, MD

Individual provider Active NPI General Practice Physician · Rosemead, CA

NPI 1699701581 · NPPES record last updated May 6, 2014

Key facts

NPI
1699701581
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
A78287 (CA)
Practice address
3012 San Gabriel Blvd
Rosemead, CA 91770-2536
Phone
(626) 572-8692
Fax
(626) 572-9736
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 3

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

Medicare Care Compare profile

Specialty
Family Practice
Education
Temple University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3012 San Gabriel Blvd
Rosemead, CA 91770-2536
Phone (626) 572-8692

3342 Whittier Blvd
Los Angeles, CA 90023-2206
Phone (323) 267-1214

Hospital & facility affiliations

  • Bright Care Home Health, Inc Home health agency · Rosemead, CA · CCN 058396
  • La Canada Hospice Care, Inc. Hospice · Glendale, CA · CCN B51652
  • Royal Palms Post Acute Nursing home · Glendale, CA · CCN 055899

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20041215001025 CA Practitioner - Family Practice
Practitioner - General Practice
3274590724 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Ruben M Ruiz III MD Inc General Practice Current
since Apr 30, 2003
Accepting new patients
Ruben M Ruiz III Medical Center Current Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients

Locations

3342 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 267-1214

3012 San Gabriel Blvd
Rosemead, CA 91770
Phone (323) 722-5700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A78287 CA Yes

Addresses

Primary practice location

3012 San Gabriel Blvd
Rosemead, CA 91770-2536

Mailing address

3012 San Gabriel Blvd
Rosemead, CA 91770-2536
Phone (626) 572-8692

Other providers in Rosemead, CA

All providers in Rosemead, CA · General Practice Physician in California

Sources for this page

Verify at the official NPI Registry.