R Ruiz M D a Professional Corporation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

LAB79356F Issued in CA

Legal business name

R RUIZ M D A PROFESSIONAL CORPORATION

Doing business as

Clinica Medica Familiar y Dental
Montebello Clinica Medica Familiar

Practice address

833 W Whittier Blvd
Montebello, CA 90640-4735

Phone

(323) 712-4811

Fax

(844) 302-8678

NPI assigned

Jan 14, 2008

Organization subpart

No

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

Authorized official

Name

Ruben Ruiz, MD

Title

Ceo/President

Phone

(562) 201-2508

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Clinica Medica Familiar y Dental Doing business as
• Montebello Clinica Medica Familiar Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1740466325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404735",
            "telephone_number": "323-712-4811",
            "fax_number": "844-302-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404735",
            "telephone_number": "323-712-4811",
            "fax_number": "844-302-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R RUIZ M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "562-201-2508",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "LAB79356F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE OF WAIVER",
            "identifier": "05D2160409",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB79356F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Medica Familiar y Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montebello Clinica Medica Familiar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kwei J Quartey, M.D.
• Yesenia Quesada
• Rosa Maria Quezada, M.A. CCC-SLP
• Nancy Quon
• R Ruiz M D a Professional Corporation (Clinica Medica Familiar y Dental)
• Lathika Raakesh, MD
• Firoozeh Rahbar, DDS
• Savitri K Rambhatla, M.D.
• Ramin Shenavad Dental Corporation
• Bianca Ramirez

• Clinical Medical Laboratory in Montebello, CA
• Providers in Montebello, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.