Organization Active NPI

Ralf Reuland M.D. Inc

  • Family Medicine Physician
  • San Clemente, CA
National Provider Identifier
1770867863
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RALF REULAND M.D. INC
Practice address
901 Calle Amanecer
Suite 100
San Clemente, CA 92673-6278
Phone
(949) 218-1470
NPI assigned
Oct 6, 2011
Last updated
Oct 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Dr. Ralf V Reuland, M.D.NPI 1477626497
Title
Owner
Phone
(949) 218-1470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

901 Calle Amanecer
Suite 100
San Clemente, CA 92673-6278

Mailing address

901 Calle Amanecer
Suite 100
San Clemente, CA 92673-6278
Phone (949) 218-1470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111115000179 CA Part B Supplier - Clinic/Group Practice 1153595848 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan Capistrano, CA

National Provider Directory

National Provider Directory
Tax ID family
Ralf Reuland MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

30250 Rancho Viejo Rd
Ste E
San Juan Capistrano, CA 92675
Phone (949) 276-7400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1770867863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CALLE AMANECER",
            "address_2": "SUITE 100",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736278",
            "telephone_number": "949-218-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CALLE AMANECER",
            "address_2": "SUITE 100",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736278",
            "telephone_number": "949-218-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALF REULAND M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "REULAND",
        "authorized_official_first_name": "RALF",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-218-1470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.