Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David A Ruckman, MD

Individual provider Internal Medicine Physician · NPI 1285620658

David A Ruckman, MD is an Internal Medicine in Fullerton, California. Graduated from George Washington University School of Medicine in 1988, 38 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
38
Trained at
George Washington University School of Medicine
Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2141 N Harbor Blvd Ste 25000
Fullerton, CA 92835-3830
Phone: (714) 626-8650
Fax: (714) 626-8694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence G67884 (CA)

Record details

NPI number1285620658
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 21, 2005
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021
Mailing address2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835-3830

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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