Individual provider Active NPI

David John Rueter, DPM

  • Foot Surgery Podiatrist
  • Irvine, CA
National Provider Identifier
1740366236
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E20470 Issued in CA
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

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GRE001960MedicaidCA
P00405925OtherCARR 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

LicenseStateTypeSpecialty
E20470CAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.