Individual provider Active NPI

Richard Dieter Ruth, M.D.

  • Internal Medicine Physician
  • La Palma, CA
National Provider Identifier
1700804986
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A85653 Issued in CA
Practice address
7851 Walker St
Suite 104
La Palma, CA 90623-1747
Phone
(714) 390-0476
Fax
(714) 690-1506
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A85653 CA Primary

Addresses

Primary practice location

7851 Walker St
Suite 104
La Palma, CA 90623-1747

Mailing address

7851 Walker St
Suite 104
La Palma, CA 90623-1747
Phone (714) 390-0476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A85653CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
US Medical Center PastSince Jan 30, 2004 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1700804986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7851 WALKER ST",
            "address_2": "SUITE 104",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231747",
            "telephone_number": "714-390-0476",
            "fax_number": "714-690-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7851 WALKER ST",
            "address_2": "SUITE 104",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231747",
            "telephone_number": "714-390-0476",
            "fax_number": "714-690-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTH",
        "first_name": "RICHARD",
        "middle_name": "DIETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A85653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.