Kristiarsi Rudito, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

A75290 Issued in CA

Practice address

10800 Magnolia Ave
Riverside, CA 92505-3043

Phone

(951) 353-5569

NPI assigned

Dec 20, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1720142359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 COLLETT AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053766",
            "telephone_number": "951-785-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053043",
            "telephone_number": "951-353-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDITO",
        "first_name": "KRISTIARSI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A75290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice A. Ruby, MD
• Michael Donald Ruby III
• Tresure Rucker
• Gay L Rudek, M.D.
• Robert L. Rudek, MD
• Alberto Ruelas-Lopez
• Denise Ruelas
• Raquel Ruff
• Victoria Paige Ruffa, ATC
• Roseann Marie Ruffini

• Allergy & Immunology Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.