Rofim Medical Group, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G68455 Issued in CA

Legal business name

ROFIM MEDICAL GROUP, INC.

Practice address

1920 E Katella Ave
Suite M
Orange, CA 92867-5146

Phone

(714) 633-7111

Fax

(714) 633-2903

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Cara Bailey Ruiz, M.D.NPI 1457458135

Title

President

Phone

(714) 633-7111

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

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

• Cara Bailey Ruiz, M.D.

  • Pediatrics Physician
  • Orange, CA
  • NPI 1457458135
  NPD (past) Authorized official
• Jeannie W. Lau Lee, P.N.P.

  • Nurse Practitioner
  • Orange, CA
  • NPI 1043405798
  NPD (past)

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992802680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E KATELLA AVE",
            "address_2": "SUITE M",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675146",
            "telephone_number": "714-633-7111",
            "fax_number": "714-633-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E KATELLA AVE",
            "address_2": "SUITE M",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675146",
            "telephone_number": "714-633-7111",
            "fax_number": "714-633-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROFIM MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "BAILEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-633-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G68455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G68455",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Rodriguez
• Brenda Michelle Rodriguezroman
• Kelly Roe
• Martin Rofael
• Roshanak Rofagha, D.D.S
• Jay E Rofsky, OD
• Bryana Thais Rogel, LCSW
• Lilah Rogers
• Mark Christopher Rogers
• Nina E Rogers

• Pediatrics Physician in Orange, CA
• Providers in Orange, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.