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MARK JUSTIN JARABA RUEDA NURSE PRACTITIONER
NPI 1942963491
Nurse Practitioner - Acute Care in West Covina, CA

Active since October 20, 2021PECOS EnrolledAccepts Medicare Assignment
1007 HARRINGTON WAY, WEST COVINA, CA 91792(714) 883-6264 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Justin Jaraba Rueda Nurse Practitioner NPPES

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

MARK JUSTIN JARABA RUEDA NURSE PRACTITIONER (NPI 1942963491) is an individual acute care provider in West Covina, California, licensed in California (95018894) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1942963491
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMARK JUSTIN JARABA RUEDACredential: NURSE PRACTITIONER
Location Address1007 HARRINGTON WAYWest Covina, CA 91792-1021
Mailing Address1007 Harrington WayWest Covina, CA 91792-1021
Phone(714) 883-6264
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 20, 2021
Last NPPES UpdateOctober 25, 2024
NPPES CertifiedOctober 20, 2021
✔ NPI 1942963491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95018894
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 95018894 (CA)
1007 HARRINGTON WAY, West Covina, CA 91792
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Justin Jaraba Rueda Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537601588
PECOS Enrollment IDI20241202001697
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mark Justin Rueda's NPI number?

The NPI number for Mark Justin Rueda is 1942963491. It was assigned to this individual provider in the NPPES registry on October 20, 2021.

Where is Mark Justin Rueda located?

Mark Justin Rueda practices at 1007 Harrington Way, West Covina, CA 91792. The listed phone number is (714) 883-6264.

What is Mark Justin Rueda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mark Justin Rueda enrolled in Medicare?

Yes. Mark Justin Rueda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mark Justin Rueda was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.