Organization Active NPI

Richard Ruiz, M.D., Inc.

  • Specialist
  • Temecula, CA
National Provider Identifier
1942447768
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G68770 Issued in CA
Legal business name
RICHARD RUIZ, M.D., INC.
Practice address
27403 Ynez Rd
Suite 107
Temecula, CA 92591-5603
Phone
(951) 506-0400
Fax
(951) 541-9466
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Dr. Richard Anthony Ruiz, M.D.NPI 1336340710
Title
President
Phone
(951) 506-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G68770 CA Primary

Addresses

Primary practice location

27403 Ynez Rd
Suite 107
Temecula, CA 92591-5603

Mailing address

27403 Ynez Rd
Suite 107
Temecula, CA 92591-5603
Phone (951) 506-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090324000052 CA Part B Supplier - Clinic/Group Practice 2961569785 Receives reassigned benefits from 1 practitioner
Practice locations: Temecula, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1942447768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27403 YNEZ RD",
            "address_2": "SUITE 107",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915603",
            "telephone_number": "951-506-0400",
            "fax_number": "951-541-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27403 YNEZ RD",
            "address_2": "SUITE 107",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915603",
            "telephone_number": "951-506-0400",
            "fax_number": "951-541-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD RUIZ, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-506-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G68770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.