Individual provider Active NPI

Rahel Teferi Ruiz

  • Internal Medicine Physician
  • Castro Valley, CA
National Provider Identifier
1821089129
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A64304 Issued in CA
Practice address
18675 Buren PL
Castro Valley, CA 94552-5281
Phone
(510) 881-2192
Fax
(510) 363-8642
NPI assigned
Nov 4, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A64304 CA Primary

Addresses

Primary practice location

18675 Buren PL
Castro Valley, CA 94552-5281

Mailing address

3300 Webster St
Ste 1000
Oakland, CA 94609-3125
Phone (510) 271-4400

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
I20051109000537 CA Practitioner - Internal Medicine 3476571357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The West Oakland Health CouncilGroup PAC ID 9537062302, shared by 4 NPIs, 27 clinicians

Practice addresses (Care Compare)

700 Adeline St
Oakland, CA 94607-2608
Phone 51083596102006

7450 International Blvd
Oakland, CA 94621-2806
Phone (510) 430-9401

Hospital & facility affiliations

  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A64304CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Health Inc a Medical Corporation Internal Medicine CurrentSince Apr 15, 2019 Accepting new patients
John Muir Physician Network Past Accepting new patients

Locations

3300 Webster St
Ste 1000
Oakland, CA 94609
Phone (510) 271-4400

Organizations & group practices 2

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 2

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577145600000",
    "number": "1821089129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST",
            "address_2": "STE 1000",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093125",
            "telephone_number": "510-271-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18675 BUREN PL",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945525281",
            "telephone_number": "510-881-2192",
            "fax_number": "510-363-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "RAHEL",
        "middle_name": "TEFERI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A64304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.