Edmundo Ruiz Davila, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A37410 Issued in CA

Practice address

4087 Peralta Blvd
Fremont, CA 94536-4849

Phone

(510) 793-7555

Fax

(510) 797-5372

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Practice

Education

University of California, San Francisco School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amore Home Health Home health agency, Fremont, CA, CCN 059509
• American Home Health Care, LLC Home health agency, Dublin, CA, CCN 059145
• Washington Hospital Hospital, Fremont, CA, CCN 050195

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Edmundo Ruiz Davila, M.D.,Inc.

  • Family Medicine Physician
  • Fremont, CA
  • NPI 1245281682
  Medicare reassignment
• Hayward Sisters Hospital

  • General Acute Care Hospital
  • Hayward, CA
  • NPI 1942298153
  NPD (past)
• Pacific Coast Medical Center Incorporated a Professional Corporation

  • Point of Service
  • Stockton, CA
  • NPI 1578838520
  NPD (past)
• Washington Township Hospital District

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1154472058
  NPD (past)

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

• American Home Health Care, LLC

  • Home Health Agency
  • Pleasanton, CA
  • NPI 1639304546
  Care Compare affiliation
• Next Level Home Health LLC

  • Home Health Agency
  • Fremont, CA
  • NPI 1316298938
  Care Compare affiliation
• Washington Township Hospital District

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1780614685
  Care Compare affiliation

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1699726976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4087 PERALTA BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364849",
            "telephone_number": "510-793-7555",
            "fax_number": "510-797-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4087 PERALTA BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364849",
            "telephone_number": "510-793-7555",
            "fax_number": "510-797-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ DAVILA",
        "first_name": "EDMUNDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A37410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Rubio
• Lenina Rubio
• Rodger Ruby, DO
• Loren Rucker-Borja
• Larissa Rufner
• Jaquelyn Ruiz Flores
• Bianca Ruiz
• Elizabeth Ruiz
• Isabella Maria Ruiz
• Nancy Ruiz

• Family Medicine Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.