Individual provider Active NPI

Ruben Ruiz, M.D.

  • Specialist
  • Rialto, CA
National Provider Identifier
1912901471
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G052245 Issued in CA
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

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GR0060100MedicaidCA
GR0060102MedicaidCA
GR0060101MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061208000384 CA Practitioner - Internal Medicine 3375431125 Reassigns benefits to 3 organizations

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
Ruben Ruiz M D a Medical CorporationGroup PAC ID 0648168062, 2 clinicians
R. Ruiz MD a Professional CorporationGroup PAC ID 4688562432, 3 clinicians

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 Home health agency, Pasadena, CA, CCN 058155
  • California Home Health Services, Inc. Home health agency, Burbank, CA, CCN 757129
  • Mission Home Health of Ontario, Inc Home health agency, Ontario, CA, CCN 559309

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G052245CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
R Ruiz M D a Medical Corp Specialist CurrentSince Jan 2, 2001 Accepting new patients
Ruben Ruiz M D a Medical Corporation Specialist CurrentSince Aug 3, 1993 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.