Steven Michael Rudy, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

GFE19728 Issued in CA

Practice address

32006 Sunset Ave
Laguna Beach, CA 92651-6832

Phone

(949) 212-0702

NPI assigned

Aug 15, 2012

Sex

Male

Sole proprietor

Yes

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1992053318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1131",
            "address_2": "1420 SINGLETREE RD",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816321131",
            "telephone_number": "949-212-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32006 SUNSET AVE",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516832",
            "telephone_number": "949-212-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDY",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "GFE19728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca T Rootlieb, MD
• Nichole Rosa, PPS
• Dana Rosen, D.C.
• Marianne Ross, PH.D.
• Jorge Rubal, MD, MBA
• Lanique G Ruffin, PSYD
• David A Ruskin, M.D.
• Lidija Ruskova, RPH
• Shien-Lin Sun Saber, PA-C
• Kimberly Sage, PSY D INTERN

• Urology Physician in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.