Individual provider Active NPI

Ruby K Jhaj, M.D.

  • Internal Medicine Physician
  • Hesperia, CA
National Provider Identifier
1962841940
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A164236 Issued in CA
Practice address
12765 Main St Ste 630
Hesperia, CA 92345-9134
Phone
(760) 995-2099
NPI assigned
Jun 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A164236 CA Primary

Addresses

Primary practice location

12765 Main St Ste 630
Hesperia, CA 92345-9134

Mailing address

19111 Town Center Dr
Apple Valley, CA 92308-8989
Phone (760) 242-7777

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
I20200504001166 CA Practitioner - Internal Medicine 3870883820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
High Desert Internal Medicine Professional CorporationGroup PAC ID 9739611955, 2 clinicians

Practice addresses (Care Compare)

12765 Main St
Suite 630
Hesperia, CA 92345-9134
Phone (760) 995-2099

Hospital & facility affiliations

  • Imperial Home Health Home health agency, Victorville, CA, CCN 059033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A164236CAMDInternal Medicine Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
High Desert Internal Medicine, Professional Corporation Internal Medicine CurrentSince Aug 14, 2024 Accepting new patients
Choice Healthcare Associates, Inc. CurrentSince Mar 17, 2020 Accepting new patients
Choice Healthcare Associates Inc PastSince Mar 31, 2024 Accepting new patients

Locations

19111 Town Center Dr
Apple Valley, CA 92308
Phone (661) 345-3055

18564 US Highway 18
Ste 105
Apple Valley, CA 92307

18522 US Highway 18
Ste 208
Apple Valley, CA 92307
Phone (760) 242-9262

12765 Main St
Ste 630
Hesperia, CA 92345
Phone (760) 995-2099

13010 Hesperia Rd
Ste 400
Victorville, CA 92395
Phone (760) 242-5111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rubyjhaj@chai.allscriptsdirect.net

Organizations & group practices 3

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 1

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": "1371859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1962841940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 TOWN CENTER DR",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923088989",
            "telephone_number": "760-242-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12765 MAIN ST STE 630",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923459134",
            "telephone_number": "760-995-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHAJ",
        "first_name": "RUBY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-22",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A164236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

Verify at the official NPI Registry.