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CLINICA MEDICA FAMILIAR Y DENTAL
NPI 1245261023
Clinic/Center - Primary Care in Montebello, CA

Active since July 06, 2006CLIA 05D2160409 · Waiver
833 W WHITTIER BLVD, MONTEBELLO, CA 90640(213) 276-6776 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 25, 2023, May 5, 2020, Sep 26, 2018 (3 updates tracked since 2018).

About Clinica Medica Familiar Y Dental NPPES

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

CLINICA MEDICA FAMILIAR Y DENTAL (NPI 1245261023) is a healthcare organization registered as a primary care in Montebello, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Ruben Ruiz, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1245261023
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameR RUIZ M D A PROFESSIONAL CORPORATION
Location Address833 W WHITTIER BLVDMontebello, CA 90640-4735
Mailing Address833 W Whittier BlvdMontebello, CA 90640-4735 · (323) 712-4811 · Fax (844) 302-8678
Phone(213) 276-6776
Organization SubpartNo
Authorized OfficialRuben RuizCeo/president · (562) 201-2508
Enumeration DateJuly 6, 2006
Last NPPES UpdateMay 25, 20233 updates tracked since enumeration
NPPES CertifiedMay 25, 2023
✔ NPI 1245261023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedSpecialistTaxonomy 174400000X · License G52245 (CA)
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
833 W WHITTIER BLVD, Montebello, CA 90640
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Other Names 2

Doing Business AsClinica Medica Familiar Y Dental
Former Legal Business NameMontebello Clinica Medica Familiar

Other Identifiers 1

Medicaid1245261023CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2160409

R Ruiz MD A Professional Corporation · Montebello, CA
Active · expires Jan 9, 2027
CLIA Number05D2160409
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorRuben Ruiz
Laboratory Phone(323) 712-4811
Laboratory LocationR Ruiz MD A Professional Corporation833 W. Whittier Blvd, Montebello, CA 90640
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

MISS JOANNE ABUYUAN GUERRERO NP-C
Nurse Practitioner (Family)
833 W WHITTIER BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 712-4811
DR. LEONID GLOSMAN DDS
Dentist
833 W WHITTIER BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 266-1000
PHARMLINK INC
Pharmacy (Community/Retail Pharmacy)
833 W WHITTIER BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 694-2581
ROBERT ANH HOANG DDS
Dentist
833 W WHITTIER BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 266-1000
MRS. STACY VANESSA LUNA FNP-C
Nurse Practitioner (Family)
833 W WHITTIER BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 712-4811
KATHERINE ANGELA GOCHINGCO FNP-C
Nurse Practitioner (Family)
833 W WHITTIER BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 712-4811
OH JAE KWON DENTAL CORPORATION
Dentist (General Practice)
833 W WHITTIER BLVD
MONTEBELLO, CA 90640
Los Angeles County (909) 576-7175
TANYA PLACENCIA NURSE PRACTITIONER
Nurse Practitioner (Family)
833 W WHITTIER BLVD
MONTEBELLO, CA 90640
Los Angeles County (323) 712-4811

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 R Ruiz M D A Professional Corporation's NPI number?

The NPI number for R Ruiz M D A Professional Corporation is 1245261023. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Clinica Medica Familiar Y Dental. The provider was formerly known as Montebello Clinica Medica Familiar.

Where is R Ruiz M D A Professional Corporation located?

R Ruiz M D A Professional Corporation is located at 833 W Whittier Blvd, Montebello, CA 90640. The listed phone number is (213) 276-6776.

What is R Ruiz M D A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does R Ruiz M D A Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2160409) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for R Ruiz M D A Professional Corporation was last updated on May 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.