Individual provider Active NPI

Calvin John Ruiz, MD

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1780188755
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
174162 Issued in CA
Practice address
1035 Placer St # Ca
Redding, CA 96001-1170
Phone
(530) 246-5710
NPI assigned
Mar 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-12957 AR
Family Medicine Physician 207Q00000X 174162 CA Primary

Addresses

Primary practice location

1035 Placer St # Ca
Redding, CA 96001-1170

Mailing address

1035 Placer St
Redding, CA 96001-1170

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221110001592 CA Practitioner - Family Practice 7618365867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shasta Community Health CenterGroup PAC ID 3870579816, 63 clinicians
Dignity HealthGroup PAC ID 2062320559, 88 clinicians

Practice addresses (Care Compare)

1035 Placer St
Redding, CA 96001-1170
Phone (530) 246-5796

2175 Rosaline Ave
Redding, CA 96001-2549
Phone (530) 225-7779

980 Placer St
Redding, CA 96001-1126
Phone (530) 246-5930

Hospital & facility affiliations

  • Valley View Healthcare Services LLC Home health agency, Chico, CA, CCN 559751
  • Accentcare Home Health of California, Inc Home health agency, Redding, CA, CCN 557273
  • Mercy Home Care Home health agency, Redding, CA, CCN 057609
  • Medical Home Care Professionals Home health agency, Redding, CA, CCN 557107
  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-12957ARMDFamily Medicine Physician
174162CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health CurrentSince Jan 1, 2023 Accepting new patients
Shasta Community Health Center Current Accepting new patients
Dignity Health CurrentSince Jan 1, 2023 Accepting new patients
Shasta Community Health Center CurrentSince Jul 29, 2022 Accepting new patients
Dignity Health Current Accepting new patients

Locations

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

2480 Sonoma St
Redding, CA 96001
Phone (530) 225-6090

1035 Placer St
Redding, CA 96001

Interoperability endpoints

  • Direct secure messaging: calvin.ruizmd.p1@direct.schc.nextgenshare.com

Organizations & group practices 5

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1780188755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PLACER ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PLACER ST # CA",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011170",
            "telephone_number": "530-246-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CALVIN",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-12957",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "174162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.