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DR. JEANNE WENDY RUDERMAN M.D.
NPI 1407804289
Pediatrics - Neonatal-Perinatal Medicine in Tarzana, CA

Active since May 04, 2006PECOS Enrolled
18321 CLARK ST, TARZANA, CA 91356(818) 708-5466(818) 708-5266 Get Directions Write a Review

NPPES record last updated: June 27, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jeanne Wendy Ruderman M.d. NPPES

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

DR. JEANNE WENDY RUDERMAN M.D. (NPI 1407804289) is an individual neonatal-perinatal medicine provider in Tarzana, California, licensed in California (G40371) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407804289
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. JEANNE WENDY RUDERMANCredential: M.D.
Location Address18321 CLARK STTarzana, CA 91356-3501
Mailing Address18321 Clark StTarzana, CA 91356-3501 · (818) 708-5466 · Fax (818) 708-5266
Phone(818) 708-5466
Fax(818) 708-5266
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJune 27, 2015
✔ NPI 1407804289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · G40371
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
18321 CLARK ST, Tarzana, CA 91356
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Other Identifiers 2

Medicaid00G403710CA
Medicare UPIND08445CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeanne Wendy Ruderman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jeanne Ruderman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cedars-Sinai Medical Care Foundation
11 mi
Anesthesiology
8700 BEVERLY BLVD STE SB-290
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 2,118 clinicians in this Medicare group
NPI 1043826720 (310) 423-1447
Children's Hospital Los Angeles Medical Group, Inc.
15 mi
Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 clinicians in this Medicare group
NPI 1265530653 (323) 361-2337

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. JONATHAN ANDREW PRINCE M.D.
Emergency Medicine
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 708-5170
ART ONCOLOGY INC
Radiology (Diagnostic Radiology)
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (215) 313-0024
DR. NEIL ERIC CANBY M.D.
Emergency Medicine
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 708-5170
KELLY ANN ARCHER KAMINSKI OTR/L
Occupational Therapist
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 881-0800
DR. FREDERICK THEODORE DENNIS M.D.
Emergency Medicine
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 708-5170
KIMBERLY DANG PHAM
Pharmacist
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 881-0800
CAROL V GREENE NNP
Nurse Practitioner (Neonatal)
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (818) 708-5242
CARMEN BOTERO, MD
Pediatrics (Pediatric Critical Care Medicine)
18321 CLARK ST
TARZANA, CA 91356
Los Angeles County (208) 676-9080

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 Jeanne Ruderman's NPI number?

The NPI number for Jeanne Ruderman is 1407804289. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Jeanne Ruderman located?

Jeanne Ruderman practices at 18321 Clark St, Tarzana, CA 91356. The listed phone number is (818) 708-5466.

What is Jeanne Ruderman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Jeanne Ruderman enrolled in Medicare?

Yes. Jeanne Ruderman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeanne Ruderman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanne Ruderman reassigns Medicare benefits to 2 organizations: Cedars-Sinai Medical Care Foundation (Los Angeles, CA) and Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeanne Ruderman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeanne Ruderman was last updated on June 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.