Martha Estela Ruiz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4373 Park Terrace Dr Ste 101
Westlake Village, CA 91361-4631

Phone

(805) 449-7204

NPI assigned

Jan 29, 2020

Last updated

Oct 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rancho Physicians Choice a Medical Corporation

  dba Rancho Clinica Medica Familiar

  • Family Medicine Physician
  • Ontario, CA
  • NPI 1326579525
  NPD (past)

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1750912689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4373 PARK TERRACE DR STE 101",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614631",
            "telephone_number": "805-449-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4373 PARK TERRACE DR STE 101",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614631",
            "telephone_number": "805-449-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "MARTHA",
        "middle_name": "ESTELA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2023-10-05",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Ruddy, MFT# 41928
• Brian David Rudin, M.D.
• Erin Beth Rudin, PA
• Chase Ruiz
• Luis Ruiz
• Amanda Rae Ruley
• Rupal Javia DDS a Professional Dental Corporation
• Kristin Nicole Rupert, PA-C
• Russ D. Erman, M.D., a Medical Corporation
• Katherine Marie Russeau, PSY.D.

• Physician Assistant in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.