Active NPI
Robert A Ruelaz, M.D.
- Clinical Cardiac Electrophysiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- A78097
- Practice address
- 4525 E Cesar E Chavez Ave
Los Angeles, CA 90022-1116 - Phone
- (818) 660-0778
- Fax
- (855) 578-3529
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | U0052 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | U0052 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | A78097 | CA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | U0052 | TX | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | A78097 | CA | Primary |
Addresses
Primary practice location
4525 E Cesar E Chavez Ave
Los Angeles, CA 90022-1116
Mailing address
4525 E Cesar E Chavez Ave
Los Angeles, CA 90022-1116
Phone (818) 660-0778
Other practice location 1
707 E Marshall Ave
Longview, TX 75601-5545
Phone (903) 315-4880
Other practice location 2
2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone (928) 226-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942505490 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Harvard Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 4TH St SW
Mason City, IA 50401-2800
11865 Firestone Blvd
Norwalk, CA 90650-2902
Phone (877) 578-3529
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366
1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249
2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone (928) 226-6400
250 S Crescent Dr
Mason City, IA 50401-2926
269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000
635 E US Hwy 9
Mercyone Forest City Family Medicine
Forest City, IA 50436-1028
Phone (641) 585-2904
7810 N US Hwy 89
Flagstaff, AZ 86004-6255
Phone (928) 522-8375
Hospital & facility affiliations
- Tranquility Care Hospice Inc
- Mercyone North Iowa Medical Center
- Community Hospital of Huntington Park
- Flagstaff Medical Center
- Hollywood Presbyterian Medical Center
- Garfield Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A78097 | CA | MD | Cardiovascular Disease Physician |
| U0052 | TX | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Alegent Creighton Clinic | Family Medicine | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Family Medicine | Current | Accepting new patients |
| Long Life Cardiac Center Medical Corporation | Cardiovascular Disease | Current | Accepting new patients |
| Alegent Creighton Clinic | Family Medicine | Current | Accepting new patients |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Family Medicine | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Covenant Medical Center Inc | Past | Accepting new patients | |
| Ahmc Monterey Park Hospital LP | Past | Accepting new patients | |
| Cha Hollywood Medical Center, LP | Past | Accepting new patients | |
| Alta Los Angeles Hospital, Inc | Past | Accepting new patients | |
| CHHP Holdings II, LLC | Past | Accepting new patients | |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients | |
| North Iowa Mercy Clinics | Internal Medicine | Past | Accepting new patients |
| Dignity Community Care | Past | Accepting new patients | |
| White Memorial Medical Center | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Ahmc Garfield Medical Center LP | Past | Accepting new patients | |
| Eladh, LP | Past | Accepting new patients | |
| Mercy Medical Center | Past | Accepting new patients |
Locations
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249
2000 S Thompson St
Flagstaff, AZ 86001
Phone (928) 213-1051
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
35 S Garfield Ave
Alhambra, CA 91801
Phone (626) 458-8818
525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222
701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rruelaz295606@christushealth.direct-ci.net
- rruelaz581248@direct.unitypoint.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Tranquility Care Hospice Inc. | Hospice | Contracted Managing Employee Operational/Managerial Control |
Mar 1, 2025 Mar 1, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Glendale, CA
- NPI 1346885134
Contracted Managing Employee, Operational/Managerial Control
Organizations & group practices 23
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.
-
- Anesthesiology Physician
- Mason City, IA
- NPI 1780278242
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
-
- Cardiovascular Disease Physician
- Alhambra, CA
- NPI 1720098171
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
-
- Clinical Cardiac Electrophysiology Physician
- Glendale, CA
- NPI 1942505490
-
- Family Medicine Physician
- Forest City, IA
- NPI 1811003015
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1235732702
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1780676221
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1114132685
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
- General Acute Care Hospital
- Huntington Park, CA
- NPI 1891059127
-
- Community Based Hospice Care Agency
- Glendale, CA
- NPI 1346885134
-
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
- Rural Acute Care Hospital
- Mason City, IA
- NPI 1467537886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1881749026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 E CESAR E CHAVEZ AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221116",
"telephone_number": "818-660-0778",
"fax_number": "855-578-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 E CESAR E CHAVEZ AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221116",
"telephone_number": "818-660-0778",
"fax_number": "855-578-3529"
}
],
"practiceLocations": [
{
"address_1": "707 E Marshall Ave",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015545",
"country_code": "US",
"telephone_number": "903-315-4880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 S Thompson St",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "860018759",
"country_code": "US",
"telephone_number": "928-226-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUELAZ",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "U0052",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "U0052",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A78097",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "TX",
"license": "U0052",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "CA",
"license": "A78097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942505490",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.