Active NPI
Monica Ruiz Durant, MD
- Internal Medicine Physician
- Walnut Creek, CA
National Provider Identifier
1750433587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G64187
- Practice address
- 3356 Westport CT
Walnut Creek, CA 94598-4030 - Phone
- (925) 899-2710
- Fax
- (925) 296-0311
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G64187 | CA | Primary |
Addresses
Primary practice location
3356 Westport CT
Walnut Creek, CA 94598-4030
Mailing address
3356 Westport CT
Walnut Creek, CA 94598-4030
Phone (925) 899-2710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040709000907 | CA | Practitioner - Internal Medicine | 3072591718 | Practice locations: Auburn, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64187 | CA | MD | Periodontist |
| G64187 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750433587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3356 WESTPORT CT",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945984030",
"telephone_number": "925-899-2710",
"fax_number": "925-296-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3356 WESTPORT CT",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945984030",
"telephone_number": "925-899-2710",
"fax_number": "925-296-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ DURANT",
"first_name": "MONICA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G64187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.