DR. RUDOLF L BRUTOCO M.D., MPH
NPI 1629280730
Pediatrics - Developmental - Behavioral Pediatrics in Irvine, CA

Active since May 03, 2007Opted out of Medicare · through Jul 6, 2028
4 VENTURE, SUITE 220, IRVINE, CA 92618(949) 753-1233(949) 753-0455 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Rudolf L Brutoco M.d., Mph NPPES

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

DR. RUDOLF L BRUTOCO M.D., MPH (NPI 1629280730) is an individual developmental - behavioral pediatrics provider in Irvine, California, licensed in California (G037333) and active in the NPI registry since May 2007. He has opted out of Medicare through July 6, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629280730
Entity TypeIndividualMale
Primary Taxonomy2080P0006X
Provider Legal NameDR. RUDOLF L BRUTOCOCredential: M.D., MPH
Location Address4 VENTURE, SUITE 220Irvine, CA 92618-3338
Mailing Address4 Venture, Suite 220Irvine, CA 92618-3338 · (949) 753-1233 · Fax (949) 753-0455
Fax(949) 753-0455
Sole ProprietorYes
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629280730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in CA · G037333
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
4 VENTURE, Irvine, CA 92618

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Rudolf L Brutoco M.d., Mph has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 6, 2020 through July 6, 2028.

Opt-Out Effective DateJuly 6, 2020
Opt-Out In Effect ThroughJuly 6, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Rudolf Brutoco's NPI number?

The NPI number for Rudolf Brutoco is 1629280730. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Rudolf Brutoco located?

Rudolf Brutoco practices at 4 Venture Suite 220, Irvine, CA 92618. The listed phone number is (949) 753-1233.

What is Rudolf Brutoco's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Rudolf Brutoco enrolled in Medicare?

No. Rudolf Brutoco has opted out of Medicare through July 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Rudolf Brutoco was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.