Lynn A Rudman, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

G66225 Issued in CA

Practice address

504 W Pueblo St Ste 303
Santa Barbara, CA 93105-6211

Phone

(805) 563-9100

Fax

(805) 687-8668

NPI assigned

Sep 9, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 19, 2019 through Jan 19, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: lynn.rudman@3745411891204.direct.elationemr.com

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1710971353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W PUEBLO ST STE 303",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056211",
            "telephone_number": "805-563-9100",
            "fax_number": "805-687-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W PUEBLO ST STE 303",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931056211",
            "telephone_number": "805-563-9100",
            "fax_number": "805-687-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDMAN",
        "first_name": "LYNN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G66225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G662250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cailyn Katsev Ruck, OD
• Clifford J Ruddle, D.D.S.
• Rudy Ruderman, LMFT
• Janice Rudestam, PH.D.
• Kjell Erik Rudestam, PH.D.
• Bindu Rudramurthy
• Kymberlee Sue Ruff, M.F.T.
• Oziel Ruffo, RN
• Francesca Ruggeri
• Melina Ruiz-Reyes

• Gynecology Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.