Diego Joel Ruiz Madera

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

201 Alameda del Prado Ste 201
Novato, CA 94949-6698

Phone

(415) 328-1142

NPI assigned

May 9, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1942990478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ALAMEDA DEL PRADO STE 201",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496698",
            "telephone_number": "415-328-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ALAMEDA DEL PRADO STE 201",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496698",
            "telephone_number": "415-328-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ MADERA",
        "first_name": "DIEGO",
        "middle_name": "JOEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Gene Rozendal, PH.D.
• Elsa Abigail Rubenstein
• Haylie Rubin
• Karee Rubinstein Wallach, MA, LCPC, LPCC
• Kelli Elizabeth Rugani, FNP
• Ashley Marie Rumayor, M.A., PPS
• George Clifford Rygg, MD
• S. Kwong DDS, a Professional Dental Corporation
• S. Ramteen Rafii, DDS, Dental Corp.
• Alexandra Saavedra-Kloss, DPT

• Other Technician in Novato, CA
• Providers in Novato, CA by specialty
• Other Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.