Active NPI
Sooji Lee Rugh, M.D.
- Obesity Medicine (Internal Medicine) Physician
- Mountain View, CA
National Provider Identifier
1770799538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Internal Medicine) Physician
- License
- G 75443
- Practice address
- 465 Fairchild Dr
Suite 112
Mountain View, CA 94043-2250 - Phone
- (650) 396-8080
- Fax
- (800) 760-0534
- NPI assigned
- May 15, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | G 75443 | CA | Primary |
| Internal Medicine Physician | 207R00000X | G 75443 | CA |
Addresses
Primary practice location
465 Fairchild Dr
Suite 112
Mountain View, CA 94043-2250
Mailing address
3039 Alameda de Las Pulgas
Menlo Park, CA 94025-6521
Phone (650) 642-4680
Other names 1
- Sooji Rugh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G 75443 | CA | MD | Internal Medicine Physician |
Interoperability endpoints
- sooji.rugh@49412312072196.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1770799538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3039 ALAMEDA DE LAS PULGAS",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940256521",
"telephone_number": "650-642-4680",
"fax_number": "800-760-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 FAIRCHILD DR",
"address_2": "SUITE 112",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940432250",
"telephone_number": "650-396-8080",
"fax_number": "800-760-0534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUGH",
"first_name": "SOOJI",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RB0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Obesity Medicine",
"state": "CA",
"license": "G 75443",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G 75443",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOOJI",
"last_name": "RUGH",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.