Rudolpho J Alegria, MD
Individual provider Active NPI Family Medicine Physician · Indio, CA
NPI 1891780425 · NPPES record last updated Jan 5, 2012
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective May 20, 2015.
Key facts
- NPI
- 1891780425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A37049 (CA)
- Practice address
- 82420 Miles Ave
Indio, CA 92201-4250 - Phone
- (760) 342-3336
- Fax
- (760) 342-3610
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A37049 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rudolpho J Alegria MD Inc | Family Medicine | Past |
Accepting new patients |
| R-C Urgent Care Family Practice Inc | Family Medicine | Past | Accepting new patients |
| Nueva Clinica California Medical Group Inc | Family Medicine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A37049 | CA | Yes |
Addresses
Primary practice location
82420 Miles Ave
Indio, CA 92201-4250
Mailing address
82420 Miles Ave
Indio, CA 92201-4250
Phone (760) 342-3336
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A370490 | Medicaid | CA |
Other providers in Indio, CA
- Pamela Camarino Albarracin
- Albert Anderson MD PC
- Karina Elizalde Alcala
- Sarai Alcantar Uriostegui
- Francisco Ugalde Alcantara
- Alexander Tran Dental Corporation
- Christopher Alexander
- Kim Alexander
- Alice G. Alatorre, D.D.S., Inc.
- Irisa Claire Aligada
All providers in Indio, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.