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RUCKER MEDICAL GROUP INC
NPI 1174801054
Family Medicine in Los Angeles, CA

Active since July 27, 2011
5265 FOUNTAIN AVE, SUITE 1A, LOS ANGELES, CA 90029(323) 662-7764(323) 662-7714 Get Directions Write a Review

NPPES record last updated: July 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rucker Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUCKER MEDICAL GROUP INC (NPI 1174801054) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since July 2011. The organization lists Burnett Rucker, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1174801054
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRUCKER MEDICAL GROUP INC
Location Address5265 FOUNTAIN AVE, SUITE 1ALos Angeles, CA 90029-1300
Mailing Address5265 Fountain Ave, Suite 1aLos Angeles, CA 90029-1300 · (323) 662-7764 · Fax (323) 662-7714
Phone(323) 662-7764
Fax(323) 662-7714
Organization SubpartNo
Authorized OfficialBurnett RuckerMedical Director · (323) 662-7764
Enumeration DateJuly 27, 2011
✔ NPI 1174801054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A34349
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5265 FOUNTAIN AVE, Los Angeles, CA 90029
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

M A HAMED M D INC
Internal Medicine
5265 FOUNTAIN AVE, SUITE 1A
LOS ANGELES, CA 90029
Los Angeles County (323) 662-7764

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rucker Medical Group Inc's NPI number?

The NPI number for Rucker Medical Group Inc is 1174801054. It was assigned to this organization in the NPPES registry on July 27, 2011.

Where is Rucker Medical Group Inc located?

Rucker Medical Group Inc is located at 5265 Fountain Ave Suite 1A, Los Angeles, CA 90029. The listed phone number is (323) 662-7764.

What is Rucker Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Rucker Medical Group Inc was last updated on July 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.