Active NPI
Charles I. Rudner, M.D.
- Orthopaedic Surgery Physician
- Santa Ana, CA
National Provider Identifier
1720055734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G42586
- Practice address
- 1200 N Tustin Ave
#250
Santa Ana, CA 92705-3508 - Phone
- (714) 558-7365
- Fax
- (714) 541-0722
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G42586 | CA | Primary |
Addresses
Primary practice location
1200 N Tustin Ave
#250
Santa Ana, CA 92705-3508
Mailing address
1200 N Tustin Ave
#250
Santa Ana, CA 92705-3508
Phone (714) 558-7365
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G42586 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Group of Orange County | Orthopaedic Surgery | Past | 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.
-
- Orthopaedic Surgery Physician
- Santa Ana, CA
- NPI 1194343855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720055734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N TUSTIN AVE",
"address_2": "#250",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053508",
"telephone_number": "714-558-7365",
"fax_number": "714-541-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N TUSTIN AVE",
"address_2": "#250",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053508",
"telephone_number": "714-558-7365",
"fax_number": "714-541-0722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDNER",
"first_name": "CHARLES",
"middle_name": "I.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G42586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.