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JEFFREY P RUDERMAN M.D., NPI 1497757686

Obstetrics & Gynecology in SACRAMENTO, CA

Last Updated on : May 06,2013

About JEFFREY P RUDERMAN (NPI 1497757686)


JEFFREY P RUDERMAN is an Obstetrics & Gynecology provider in SACRAMENTO, United States. His medical specialization is Obstetrics & Gynecology .

1497757686 is NPI number of JEFFREY P RUDERMAN.

JEFFREY P RUDERMAN's primary taxonomy code based on NPI Lookup is 207V00000X with license number G67920. This taxonomy code refers to Obstetrics & Gynecology.

JEFFREY P RUDERMAN has more than 16 years of experience.

JEFFREY P RUDERMAN current practice location address is 1792 TRIBUTE RD, SACRAMENTO, CA. JEFFREY P RUDERMAN can be reached out via phone at 916-678-5400 and via fax at 916-678-7663 .

You can also correspond with JEFFREY P RUDERMAN through mail at mailing address 1792 TRIBUTE RD, SACRAMENTO, CA, United States. Mailing address contact number is 916-678-5400.

The enumeration date of JEFFREY P RUDERMAN is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 9 years ago.

1497757686 NPI Information

Name JEFFREY P RUDERMAN
National Provider Id (NPI) 1497757686
Entity Type Individual
Gender M
Credential M.D.
Practice Address 1792 TRIBUTE RD, SUITE 200
SACRAMENTO, CA, United States
Practice Telephone 916-678-5400
Practice Fax Number 916-678-7663
Mailing Address 1792 TRIBUTE RD , SUITE 200
SACRAMENTO, CA, United States
Mailing Telephone 916-678-5400
Mailing Fax Number 916-678-7663
Enumeration Date 01-Jun-2005
Last Updated Date 06-May-2013

JEFFREY P RUDERMAN (NPI 1497757686) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207V00000X Obstetrics & Gynecology G67920 CA

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
00G679200 MEDICAID (05) CA
AR211Y MEDICARE PIN (08) CA
G64075 MEDICARE UPIN (02) CA

JEFFREY P RUDERMAN (NPI 1497757686) Office Location

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1891773768 CELIA BUCKLEY Registered Nurse, Pediatrics 2315 STOCKTON BLVD, MAIN HOSPITAL; PCS
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FAQs

Whose NPI Number is 1497757686?

1497757686 is the NPI number of JEFFREY P RUDERMAN.

What is the specialty for JEFFREY P RUDERMAN?

The Specialty of JEFFREY P RUDERMAN is Obstetrics & Gynecology.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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