Individual provider Active NPI

Ruben M Ruiz III, MD

  • General Practice Physician
  • Rosemead, CA
National Provider Identifier
1699701581
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A78287 Issued in CA
Practice address
3012 San Gabriel Blvd
Rosemead, CA 91770-2536
Phone
(626) 572-8692
Fax
(626) 572-9736
NPI assigned
Jun 23, 2006
Last updated
May 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Specialties & licenses 1

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

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

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
I20041215001025 CA Practitioner - Family PracticePractitioner - General Practice 3274590724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ruben M Ruiz III Medical Center Current Accepting new patients
Ruben M Ruiz III MD Inc General Practice CurrentSince Apr 30, 2003 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

Organizations & group practices 5

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.

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1699701581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 SAN GABRIEL BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702536",
            "telephone_number": "626-572-8692",
            "fax_number": "626-572-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 SAN GABRIEL BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702536",
            "telephone_number": "626-572-8692",
            "fax_number": "626-572-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "RUBEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A78287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

Verify at the official NPI Registry.