Yolanda A Mickevicius Ruokis, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C41204 Issued in CA

Practice address

5500 University Parkway
California State University San Bernardino Student HLTH
San Bernardino, CA 92407-2397

Phone

(909) 537-3295

Fax

(909) 537-7027

NPI assigned

Mar 19, 2007

Sex

Female

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952425316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 UNIVERSITY PARKWAY",
            "address_2": "CALIFORNIA STATE UNIVERSITY SAN BERNARDINO STUDENT HLTH",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072397",
            "telephone_number": "909-537-3295",
            "fax_number": "909-537-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 UNIVERSITY PARKWAY",
            "address_2": "CALIFORNIA STATE UNIVERSITY SAN BERNARDINO STUDENT HLTH",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072397",
            "telephone_number": "909-537-3295",
            "fax_number": "909-537-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKEVICIUS RUOKIS",
        "first_name": "YOLANDA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C41204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.