Active NPI
Karla Rugamas, PA
- Physician Assistant
- Carson, CA
National Provider Identifier
1912247149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA22712
- Practice address
- 22328 Main St
Carson, CA 90745-4525 - Phone
- (310) 802-6177
- Fax
- (310) 802-6178
- NPI assigned
- Feb 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA22712 | CA | Primary |
Addresses
Primary practice location
22328 Main St
Carson, CA 90745-4525
Mailing address
23430 Hawthorne Blvd
BLDG. 3, Ste 210
Torrance, CA 90505-4720
Phone (310) 802-6177
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151110002239 | CA | Order and Referring Only - Physician Assistant | 9234449877 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22712 | CA | MD | Mental Health Counselor |
| PA22712 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1912247149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23430 HAWTHORNE BLVD",
"address_2": "BLDG. 3, STE 210",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054720",
"telephone_number": "310-802-6177",
"fax_number": "310-802-6178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22328 MAIN ST",
"city": "CARSON",
"state": "CA",
"postal_code": "907454525",
"telephone_number": "310-802-6177",
"fax_number": "310-802-6178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUGAMAS",
"first_name": "KARLA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-25",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA22712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.