Active NPI
David John Rueter, DPM
- Foot Surgery Podiatrist
- Irvine, CA
National Provider Identifier
1740366236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- E20470
- Practice address
- 18952 Macarthur Blvd
Suite 102
Irvine, CA 92612-1401 - Phone
- (949) 833-3406
- NPI assigned
- Oct 27, 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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | E20470 | CA | Primary |
Addresses
Primary practice location
18952 Macarthur Blvd
Suite 102
Irvine, CA 92612-1401
Mailing address
14400 Bear Valley Rd
Ste 201
Victorville, CA 92392-5406
Phone (949) 833-3406
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRE001960 | Medicaid | CA | |
| P00405925 | Other | CA | RR MEDICARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E20470 | CA | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Studio City Surgical Center | 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.
-
- Ambulatory Surgical Clinic/Center
- Studio City, CA
- NPI 1437360849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1740366236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14400 BEAR VALLEY RD",
"address_2": "STE 201",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923925406",
"telephone_number": "949-833-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18952 MACARTHUR BLVD",
"address_2": "SUITE 102",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121401",
"telephone_number": "949-833-3406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUETER",
"first_name": "DAVID",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "CA",
"license": "E20470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GRE001960",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00405925",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.