Organization Active NPI

Kevin M. Ruhge, M.D., Inc.

  • Plastic Surgery Physician
  • Pasadena, CA
National Provider Identifier
1922028489
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A65129 Issued in CA
Legal business name
KEVIN M. RUHGE, M.D., INC.
Practice address
50 Alessandro PL Ste 300
Pasadena, CA 91105-4001
Phone
(626) 397-9095
Fax
(626) 397-9099
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Dr. Kevin M. Ruhge, M.D.
Title
President
Phone
(626) 397-9095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X A65129 CA Primary

Addresses

Primary practice location

50 Alessandro PL Ste 300
Pasadena, CA 91105-4001

Mailing address

50 Alessandro PL Ste 300
Pasadena, CA 91105-4001
Phone (626) 397-9095

Other identifiers 1

IdentifierTypeStateIssuer
00A651290MedicaidCA

National Provider Directory

National Provider Directory

Locations

50 Alessandro Pl
Ste 300
Pasadena, CA 91105
Phone (626) 397-9095

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1922028489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL STE 300",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054001",
            "telephone_number": "626-397-9095",
            "fax_number": "626-397-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL STE 300",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054001",
            "telephone_number": "626-397-9095",
            "fax_number": "626-397-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN M. RUHGE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "RUHGE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-397-9095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A65129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A651290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.