Individual provider Active NPI

Riccardo Lucien Ruggiero, REGISTERED NURSE

  • Registered Nurse
  • Orange, CA
National Provider Identifier
1720575590
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95022071 Issued in CA
Practice address
1855 W Katella Ave
Orange, CA 92867-3451
Phone
(714) 399-3480
Fax
(714) 956-3591
NPI assigned
Apr 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95022071 CA Primary

Addresses

Primary practice location

1855 W Katella Ave
Orange, CA 92867-3451

Mailing address

1855 W Katella Ave Ste 150
Orange, CA 92867-3432
Phone (714) 790-6381

Other names 1

  • Richie Lucien Ruggiero Other name

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

State licenses

LicenseStateTypeSpecialty
95022071CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1720575590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W KATELLA AVE STE 150",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928673432",
            "telephone_number": "714-790-6381",
            "fax_number": "714-956-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W KATELLA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928673451",
            "telephone_number": "714-399-3480",
            "fax_number": "714-956-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERO",
        "first_name": "RICCARDO",
        "middle_name": "LUCIEN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95022071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHIE",
            "last_name": "RUGGIERO",
            "middle_name": "LUCIEN",
            "credential": "REGISTERED NURSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.