ERNESTO RUVALCABA (NPI# 1659634590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659634590 |
Entity Type | Individual |
Full Name | ERNESTO RUVALCABA |
Credential | PA-C |
Practice Address |
1025 W Olympic Blvd Los Angeles CA 90015-1329 |
Mailing Address |
1027 N Edinburgh Ave Apt 6 West Hollywood CA 90046-6023 |
Practice Telephone | 2138615950 |
Mailing Telephone | 3035886033 |
Enumeration Date | 2012-06-15 |
Last Update Date | 2012-12-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA22296 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1025 W OLYMPIC BLVD |
City | LOS ANGELES |
State | CA |
Zip Code | 90015-1329 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245203082 | Robert Alan Blackman | Internal Medicine | 1025 W Olympic Blvd, Los Angeles, CA 90015-1329 | 2006-02-10 |
1922513357 | Vincent N Hoang | Pharmacist | 1025 W Olympic Blvd, Los Angeles, CA 90015-1329 | 2017-12-07 |
1629521646 | Thomas Patrick Walker | Registered Nurse | 1025 W Olympic Blvd, Los Angeles, CA 90015-1329 | 2016-07-26 |
1881063121 | Martha Kataura | Dietitian, Registered | 1025 W Olympic Blvd, Los Angeles, CA 90015-1329 | 2015-09-16 |
1962800177 | Kari Ikemoto | Dietitian, Registered | 1025 W Olympic Blvd, Los Angeles, CA 90015-1329 | 2014-12-22 |
1225379167 | Optumcare Management, LLC | Marriage & Family Therapist | 1025 W Olympic Blvd, Los Angeles, CA 90015-1329 | 2013-03-01 |
1487931978 | Lauren Faye Elkins | Dietitian, Registered | 1025 W Olympic Blvd, Suite 7, Los Angeles, CA 90015-1329 | 2011-11-10 |
1891078424 | Darlene Elizabeth Allen | Dietitian, Registered | 1025 W Olympic Blvd, Los Angeles, CA 90015-1329 | 2011-09-20 |
1376822197 | Tsai, Hsiao & Loo Dental Corporation | Dentist | 1025 W Olympic Blvd, Los Angeles, CA 90015-1329 | 2011-08-10 |
1093003170 | Juan Angel Lemus Miranda | Family Medicine | 1025 W Olympic Blvd, Los Angeles, CA 90015-1329 | 2011-07-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
1225650955 | Luis Alvarado | Student in an Organized Health Care Education/Training Program | 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 | 2020-05-15 |
1386290385 | Amy M Powell | Student in an Organized Health Care Education/Training Program | 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 | 2019-08-15 |
1881170199 | Angie Andreina Trias Sanchez | Student in an Organized Health Care Education/Training Program | 936 S Olive St Apt 154, Los Angeles, CA 90015 | 2018-07-19 |
1083148753 | Central Neighborhood Health Foundation - Fontana | Clinic/Center | 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 | 2017-04-19 |
1255871711 | Ethan Lin | Student in an Organized Health Care Education/Training Program | 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 | 2017-03-03 |
1972055093 | Yvonne Perez | Social Worker | 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 | 2016-10-25 |
1356896492 | Mayano Ochi | Midwife | 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 | 2016-08-18 |
1518321686 | Cielo Reyna-donaldson | Registered Nurse | 1520 South Olive Street, Los Angeles, CA 90015 | 2016-04-05 |
1891175774 | Amanecer Community Counseling Service | Community/Behavioral Health | 1500 S Olive St Rm 506, Los Angeles, CA 90015 | 2015-06-04 |
Find all providers in zip 90015 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
1942738943 | Sophavy Suon | Physician Assistant | 11611 San Vicente Blvd Lbby Level, Los Angeles, CA 90049-5106 | 2017-06-02 |
1619429503 | Rachel Frankenthal | Physician Assistant | 200 Medical Plz Ste 220, Ucla Department of Obgyn, Los Angeles, CA 90095-0001 | 2016-10-26 |
1982152815 | Accessmed A Physician Assistant Professional Corporation | Physician Assistant | 1055 W 7th St Fl 33, Los Angeles, CA 90017-2577 | 2016-09-20 |
1043766363 | Amber Joy Rangel | Physician Assistant | 2523 Armacost Ave, Los Angeles, CA 90064-2715 | 2016-08-28 |
1184080459 | Doreen Yasharel | Physician Assistant | 824 S Wooster St Apt 306, Los Angeles, CA 90035-1745 | 2016-01-02 |
1649649443 | Thuy Vo | Physician Assistant | 5841 Bowcroft St, Unit 2, Los Angeles, CA 90016-4955 | 2015-09-22 |
1649655663 | Carlee Ettinger | Physician Assistant | 2751 Rinconia Dr, Los Angeles, CA 90068-2227 | 2015-07-21 |
1841681467 | Lauren Layson | Physician Assistant | 4049 Via Marisol, Los Angeles, CA 90042-5055 | 2015-02-18 |
1871981282 | Dianne Desiree Rivera Navoa | Physician Assistant | 8631 W 3rd St Ste 1035e, Los Angeles, CA 90048-5964 | 2015-01-07 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90015 |
Please comment or provide details below to improve the information on ERNESTO RUVALCABA.
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.