Rucker Medical Group Inc
NPI 1174801054 · Family Medicine Physician · Los Angeles, CA
Rucker Medical Group Inc is a Family Medicine Physician organization in Los Angeles, CA (NPI 1174801054).
Provider details
- NPI number
- 1174801054
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Burnett Rucker, Medical Director(323) 662-7764
- License
- A34349 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-07-27
- Last updated
- 2011-07-27
Frequently asked questions
- What is Rucker Medical Group Inc's NPI number?
- Rucker Medical Group Inc's National Provider Identifier (NPI) is 1174801054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rucker Medical Group Inc?
- Rucker Medical Group Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Rucker Medical Group Inc located?
- Rucker Medical Group Inc's practice location on file with NPPES is 5265 Fountain Ave, Los Angeles, CA 90029-1300.
- What is Rucker Medical Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Rucker Medical Group Inc is (323) 662-7764.
- Who is the authorized official for Rucker Medical Group Inc?
- The authorized official listed on Rucker Medical Group Inc's NPPES record is Burnett Rucker, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rucker Medical Group Inc's NPI active?
- Yes — Rucker Medical Group Inc's NPI (1174801054) is active in the NPPES registry as of the last update on 2011-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.