Active NPI
Ruben Ruiz, M.D.
- Specialist
- Rialto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G052245
- Practice address
- 436 S Riverside Ave
Rialto, CA 92376 - Phone
- (909) 877-8868
- Fax
- (909) 877-0008
- NPI assigned
- Jun 10, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | G052245 | CA | Primary |
Addresses
Primary practice location
436 S Riverside Ave
Rialto, CA 92376
Mailing address
833 W Whittier Blvd
Montebello, CA 90640-4735
Phone (323) 712-4811
Other practice location 1
901 W Whittier Blvd
Montebello, CA 90640-4737
Phone (323) 728-8588
Other practice location 2
833 W Whittier Blvd
Montebello, CA 90640-4735
Phone (323) 712-4811
Other practice location 3
403 W F St
Ontario, CA 91762-3207
Phone (909) 988-3288
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0060100 | Medicaid | CA | |
| GR0060102 | Medicaid | CA | |
| GR0060101 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of California, Geffen School of Medicine, 1982
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
403 W F St
Ontario, CA 91762-3207
Phone (909) 988-3288
436 S Riverside Ave
Rialto, CA 92376-6523
Phone (909) 877-8668
833 W Whittier Blvd
Montebello, CA 90640-4735
Phone (323) 712-4811
Hospital & facility affiliations
- Med Care Plus Home Health Inc
- California Home Health Services, Inc.
- Mission Home Health of Ontario, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G052245 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R Ruiz M D a Medical Corp | Specialist | Current | Accepting new patients |
| Ruben Ruiz M D a Medical Corporation | Specialist | Current | Accepting new patients |
| Ruben Ruiz MD a Medical Corporation | Past | Accepting new patients | |
| White Memorial Medical Center | Past | Accepting new patients | |
| R Ruiz M D a Medical Corp | Past | Accepting new patients |
Locations
833 W Whittier Blvd
Montebello, CA 90640
Phone (323) 266-1000
403 W F St
Ontario, CA 91762
Phone (909) 988-3288
436 S Riverside Ave
Rialto, CA 92376
Phone (909) 877-8668
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
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.
-
- Primary Care Clinic/Center
- Ontario, CA
- NPI 1043241821
Specialist
-
- Primary Care Clinic/Center
- Montebello, CA
- NPI 1245261023
-
- Clinical Medical Laboratory
- Rialto, CA
- NPI 1760785588
-
- Clinical Medical Laboratory
- Ontario, CA
- NPI 1407006893
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Burbank, CA
- NPI 1518567882
-
- Home Health Agency
- Pasadena, CA
- NPI 1871963140
-
- Home Health Agency
- Ontario, CA
- NPI 1528450475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1912901471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 W WHITTIER BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404735",
"telephone_number": "323-712-4811",
"fax_number": "323-544-6488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 S RIVERSIDE AVE",
"city": "RIALTO",
"state": "CA",
"postal_code": "92376",
"telephone_number": "909-877-8868",
"fax_number": "909-877-0008"
}
],
"practiceLocations": [
{
"address_1": "901 W Whittier Blvd",
"address_purpose": "LOCATION",
"city": "Montebello",
"state": "CA",
"postal_code": "906404737",
"country_code": "US",
"telephone_number": "323-728-8588",
"fax_number": "323-728-4444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "833 W Whittier Blvd",
"address_purpose": "LOCATION",
"city": "Montebello",
"state": "CA",
"postal_code": "906404735",
"country_code": "US",
"telephone_number": "323-712-4811",
"fax_number": "323-544-6488",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "403 W F St",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917623207",
"country_code": "US",
"telephone_number": "909-988-3288",
"fax_number": "909-988-6767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUIZ",
"first_name": "RUBEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G052245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0060100",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0060102",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0060101",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.
- 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.