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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: August 02, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.