Individual provider Active NPI

Rudolpho J Alegria, MD

  • Family Medicine Physician
  • Indio, CA
National Provider Identifier
1891780425
Registry record updated Jan 5, 2012
On this page

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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A37049 Issued in CA
Practice address
82420 Miles Ave
Indio, CA 92201-4250
Phone
(760) 342-3336
Fax
(760) 342-3610
NPI assigned
Sep 20, 2005
Last updated
Jan 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A37049 CA Primary

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 1

IdentifierTypeStateIssuer
00A370490MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A37049CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
R-C Urgent Care Family Practice Inc Family Medicine Past Accepting new patients
Rudolpho J Alegria MD Inc Family Medicine PastSince Feb 16, 2005 Accepting new patients
Nueva Clinica California Medical Group Inc Family Medicine PastSince Sep 1, 2006 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1891780425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82420 MILES AVE",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014250",
            "telephone_number": "760-342-3336",
            "fax_number": "760-342-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82420 MILES AVE",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014250",
            "telephone_number": "760-342-3336",
            "fax_number": "760-342-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEGRIA",
        "first_name": "RUDOLPHO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A37049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A370490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.