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

Ivan Rudenko, MD

Individual provider Hospitalist Physician · NPI 1477040517

Ivan Rudenko, MD is an Internal Medicine in Fountain Valley, California. Qualified in 2018, 8 years ago. Practices with Memorialcare Medical Foundation, a 562-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
Specialties on file
2
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

17360 Brookhurst St
Fountain Valley, CA 92708
Phone: (714) 665-1797
Fax: (714) 665-4680
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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 A167288 (CA)
Hospitalist Physician Taxonomy 208M00000X · Licence A167288 (CA)

Record details

NPI number1477040517
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2018
Last updated in NPPESDecember 23, 2022
Certification dateDecember 23, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Memorialcare Medical Foundation — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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