DR. JEFFREY P RUDERMAN (NPI# 1497757686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497757686 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY P RUDERMAN |
| Credential | M.D. |
| Practice Address |
1792 Tribute Rd Suite 200 Sacramento CA 95815-4305 |
| Practice Telephone | 9166785400 |
| Practice Fax Number | 9166787663 |
| Mailing Telephone | 9166785400 |
| Mailing Fax Number | 9166787663 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2013-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G67920 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G679200 | 05 |
| Street Address |
1792 TRIBUTE RD SUITE 200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95815-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962836254 | Teresa Brown | Dietitian, Registered | 1792 Tribute Rd, Suite 200, Sacramento, CA 95815-4305 | 2013-08-22 |
| 1598949430 | David C. Hsu | Psychiatry & Neurology | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2007-12-27 |
| 1942334339 | Dignity Health Medical Foundation | Clinic/Center | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2007-03-15 |
| 1073647020 | Chw Medical Foundation | Clinic/Center | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2007-03-14 |
| 1053446385 | Howard B. Spivak | Counselor | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2007-02-23 |
| 1841337011 | Sacramento Maternal Fetal Medicine Medical Group, Inc. | Specialist | 1792 Tribute Rd, Suite 200, Sacramento, CA 95815-4305 | 2007-01-30 |
| 1982762787 | Theodore Hoffman | Psychiatry & Neurology | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2006-12-05 |
| 1770651622 | Meryl B. Rappaport | Social Worker | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2006-11-30 |
| 1144309543 | Patricia Coan Hanson | Social Worker | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2006-11-04 |
| 1881773281 | Bonnie Jacobson | Marriage & Family Therapist | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2006-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1366091894 | Twin Rivers Unified School District | Supports Brokerage | 3051 Fairfield Street, Sacramento, CA 95815 | 2019-09-07 |
| 1669941159 | Maria Luisa Plasencia | Registered Nurse | Martin Luther King Jr. Technology Academy, 3051 Fairfield St, Sacramento, CA 95815 | 2018-11-14 |
| 1700386547 | Rww Outpatient Rehab Services, LLC | Clinic/Center | 1610 Arden Way Ste 195, Sacramento, CA 95815 | 2018-02-19 |
| 1114439262 | Ahc Healthcare of Sacramento Corporation | Skilled Nursing Facility | 1411 Expo Pkwy, Sacramento, CA 95815 | 2017-10-30 |
| 1588173686 | Rebekah Collette Curtis | Counselor | 1048 Dixieanne Ave. #28, Sacramento, CA 95815 | 2017-09-21 |
| 1497284145 | Prohealth Home Care Inc | Hospice Care, Community Based | 1375 Exposition Blvd Suite 250b, Sacramento, CA 95815 | 2017-06-07 |
| 1386982296 | Shailesh M Asaikar Md Inc | Clinic/Center | 1111 Exposition Blvd., Bldg 700, Sacramento, CA 95815 | 2013-01-28 |
| 1609129618 | Jackey Care's Housing | Clinic/Center | 2447 Boxwood St, Sacramento, CA 95815 | 2012-10-16 |
| 1144549304 | Rowena Deleon Nolasco | Nurse Practitioner | 577 Las Palmas Ave., Health for All, Sacremento, CA 95815 | 2010-05-26 |
| Find all providers in zip 95815 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841713732 | Wellspace Health Professional Health Center for Women | Obstetrics & Gynecology | 4150 Truxel Rd Ste C, Sacramento, CA 95834-3761 | 2017-07-21 |
| 1548716020 | Nicole Gabrielle Gomez | Obstetrics & Gynecology | 2610 O St, Apt A, Sacramento, CA 95816-6368 | 2016-08-25 |
| 1568758472 | Kathleen Ann Rooney | Obstetrics & Gynecology | 2277 Fair Oaks Blvd 355, Sacramento, CA 95825-5595 | 2011-06-20 |
| 1972814671 | Laura Elizabeth Watters | Obstetrics & Gynecology | 77 Cadillac Dr Ste 230, Sacramento, CA 95825-5480 | 2010-06-28 |
| 1285963843 | Amanda L Shepherd | Obstetrics & Gynecology | 5320 N St, Sacramento, CA 95819-4132 | 2009-12-10 |
| 1003048786 | Hailey Rose Macnear | Obstetrics & Gynecology | 2277 Fair Oaks Blvd Ste 355, Sacramento, CA 95825-5595 | 2009-08-14 |
| 1578744454 | Mala Ashok Medical Corporation | Obstetrics & Gynecology | 112 Fountain Oaks Cir, 250, Sacramento, CA 95831-3967 | 2007-11-19 |
| 1144422056 | Akiba Edo Green | Obstetrics & Gynecology | 3201 S St, 188, Sacramento, CA 95816-7078 | 2007-06-03 |
| 1801005970 | Carolyn Cupps Davis | Obstetrics & Gynecology | 2864 El Prado Way, Sacramento, CA 95825-1835 | 2007-05-22 |
| 1164643896 | Kristina Milan | Obstetrics & Gynecology | 1625 Stockton Blvd Ste 20, Sacramento, CA 95816-7097 | 2007-05-01 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95815 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.