MESA FAMILY PRACTICE/JACOBO A. RUYBAL M.D.
NPI 1255560454
Family Medicine in Grand Junction, CO

NPI Status: Active since July 08, 2009

Contact Information

2231 N 7TH ST
GRAND JUNCTION, CO
ZIP 81501
Phone: (970) 243-1331
Fax: (970) 243-9190

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  • Organization
  • Family Medicine
  • CLIA Number: 06D0674403
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-21-2026

About MESA FAMILY PRACTICE/JACOBO A. RUYBAL M.D.

This page provides the complete NPI Profile along with additional information for Mesa Family Practice/jacobo A. Ruybal M.d., a primary care provider established in Grand Junction, Colorado operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1255560454 assigned on July 2009. The practitioner's primary taxonomy code is 207Q00000X with license number 24283 (CO). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Tamara Ruybal (Office Manager)

NPI
1255560454
Provider Name
MESA FAMILY PRACTICE/JACOBO A. RUYBAL M.D.
Entity Type
Organization
Location Address
2231 N 7TH ST GRAND JUNCTION, CO 81501
Location Phone
(970) 243-1331
Location Fax
(970) 243-9190
Mailing Address
2231 N 7TH ST GRAND JUNCTION, CO 81501
Mailing Phone
(970) 243-1331
Mailing Fax
(970) 243-9190
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-08-2009
Last Update Date
12-27-2010
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A primary care provider (PCP) like Mesa Family Practice/jacobo A. Ruybal M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
24283
License State
CO
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TAMARA RUYBAL

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(970) 243-1331

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
D28347MEDICARE UPIN (02)CO 
C79011MEDICARE PIN (08)CO 
01242833MEDICAID (05)CO 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D0674403
Facility Type
Physician Office
Certificate Effective Date
May 22, 2024
Certificate Expiration Date
May 21, 2026
Laboratory Director
JACOBO A. RUYBAL
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Mesa Family Practice/jacobo A. Ruybal M.d. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255560454
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051060410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 0 + 6 + 0 + 4 + 1 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1255560454 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912084344 RICHARD ALLAN KINGSTON DO
Individual
Family Medicine2231 N 7TH ST
GRAND JUNCTION, CO 81501
(970) 245-3208
1881766822 JACOBO ARMANDO RUYBAL JR. M.D.
Individual
Family Medicine2231 N 7TH ST
GRAND JUNCTION, CO 81501
(970) 243-1331

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255560454, enumerated in the NPI registry as an "organization" on July 08, 2009

The provider is located at 2231 N 7th St Grand Junction, Co 81501 and the phone number is (970) 243-1331

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 06D0674403 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on July 08, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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