Joanne K. L. Rutgers, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

G60455 Issued in CA

Practice address

8700 Beverly Blvd
Dept of Pathology
West Hollywood, CA 90048-1804

Phone

(310) 423-6623

Fax

(310) 423-0122

NPI assigned

Apr 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1750343604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "address_2": "DEPT. OF PATHOLOGY",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-6623",
            "fax_number": "310-423-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "address_2": "DEPT OF PATHOLOGY",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-6623",
            "fax_number": "310-423-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTGERS",
        "first_name": "JOANNE",
        "middle_name": "K. L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "G60455",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G60455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G604550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Andrew Ruiz
• Paula Ruiz, P.A.
• Joshua Adam Rushakoff, MD, MPP
• Parker McWilliams Rushworth, MD
• Russian Jewish Community Cultural Center
• Emily Ann Ruttledge
• Alexandra Rutwind, D.M.D, MS
• Cazandra Ruvalcaba, AGACNP-BC
• Ryan Perumpail MD Inc
• Ryan Stybel OD Inc. (Positive Eye Ons)

• Anatomic Pathology & Clinical Pathology Physician in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.