Individual provider Active NPI

Sooji Lee Rugh, M.D.

  • Obesity Medicine (Internal Medicine) Physician
  • Mountain View, CA
National Provider Identifier
1770799538
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
License
G 75443 Issued in CA
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

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G 75443CAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.