Paul Runyan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

12566 Issued in CA

Practice address

234 Baker St
Suite 1&2
Bakersfield, CA 93305-5856

Phone

(661) 322-7580

Fax

(661) 322-7712

NPI assigned

Aug 7, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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.

• California Department of Correction/ Rehabilitation

  • Prison Health Clinic/Center
  • Tehachapi, CA
  • NPI 1699027730
  NPD (past)
• Corrections and Rehabilitation-Headquarters

  • Pharmacy
  • Tehachapi, CA
  • NPI 1750916565
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1700077427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24900 HIGHWAY 202",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "93561",
            "telephone_number": "661-822-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 BAKER ST",
            "address_2": "SUITE 1&2",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933055856",
            "telephone_number": "661-322-7580",
            "fax_number": "661-322-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYAN",
        "first_name": "PAUL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "12566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valarie T Ruiz
• Vanessa Ruiz
• Vanessa Cezar Ruiz
• Yosaira Melissa Ruiz
• Lashae Runnels
• Robert Leon Rusche, MD
• Carol Sue Rush, RN BSN PHN
• Agustinus Rushanaedy, MD
• Rosalind Russ, CRNA
• Erionna Russell

• Physician Assistant in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.