MRS. KRISTY ANNA RUIZ


Address: 658 E Brier Dr, San Bernardino, CA 92408
Phone: 9095010820

MRS. KRISTY ANNA RUIZ (NPI# 1003471079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003471079
Entity Type Individual
Full Name MRS. KRISTY ANNA RUIZ
Practice Address 658 E Brier Dr
San Bernardino
CA 92408
Mailing Address 658 E Brier Dr
San Bernardino
CA 92408-2880
Practice Telephone 9095010820
Mailing Telephone 9095010820
Enumeration Date 2019-05-06
Last Update Date 2019-11-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist NA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NA NA 01
CA COUNTY OF SAN BERNARDINO H5318 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
658 E Brier Dr, San Bernardino, CA 92408 9095010820

Other Providers KRISTY RUIZ

NPI Name Taxonomy Address Enumeration
1508140104 Kristy Linn Ruiz Pharmacist 2322 Austin Dr, Springfield, IL 62704-5545 2011-10-01

Office Location

Street Address 658 E BRIER DR
City SAN BERNARDINO
State CA
Zip Code 92408

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063920973 Arneta Brown Peer Specialist 658 E Brier Dr, San Bernardino, CA 92415-0928 2018-01-12
1346850211 County of San Bernardino Clinic/Center 658 E Brier Dr, San Bernardino, CA 92408-2880 2020-08-05
1265079180 Michelle Frizzelle Marriage & Family Therapist 658 E Brier Dr, San Bernardino, CA 92408-2880 2019-12-10
1932750155 Laura Amezcua Counselor 658 E Brier Dr, San Bernardino, CA 92415-6501 2019-09-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073124681 Valeria Armentilla Cecena Student in an Organized Health Care Education/Training Program 1950 Sunwest Ln., San Bernardino, CA 92408 2020-08-17
1588272066 Horizon Therapy Services Physical Therapist 418 East Vanderbilt, San Bernardino, CA 92408 2020-07-21
1821627639 Bl Anderson Medical Corporation Emergency Medicine 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 2020-04-03
1922648104 Infinite Hope Hospice Corp Hospice Care, Community Based 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 2020-01-15
1689210775 Inland Empire Community Outreach Center Counselor 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 2019-11-23
1992347801 Care Marriage and Family Therapists, Inc. Marriage & Family Therapist 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 2019-10-11
1366084360 Theraville Counseling Services, A Licensed Clinical Social Worker Corp Social Worker 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 2019-10-10
1548730419 Adriana Alcaraz Behavior Technician 473 E Carnegie, Ste 200, San Bernardino, CA 92408 2018-12-04
1811467889 Xavier J Molina-williams Behavior Technician 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 2018-12-03
1780153148 Gillian Washington Behavior Technician 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 2018-11-15
Find all providers in zip 92408

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437783180 Samuel Guadron Rosales Peer Specialist 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 2020-03-02
1518502301 Georgina Centeno Peer Specialist 780 Esat Gilbert St, San Bernardino, CA 92415-0001 2019-11-15
1063920973 Arneta Brown Peer Specialist 658 E Brier Dr, San Bernardino, CA 92415-0928 2018-01-12
1619589140 Michelle Eileen Koperski Peer Specialist 1481 Windsor Dr, San Bernardino, CA 92404-5416 2020-08-17
1518598879 Denise Ybarra Peer Specialist 104 W 4th St, San Bernardino, CA 92415-0035 2020-01-27
1649818055 Sidney Untal Suarez Jr. Peer Specialist 820 E Gilbert St, San Bernardino, CA 92415-0928 2019-12-16
1912543760 Elsie Renee Rollins Peer Specialist 1481 Windsor Dr, San Bernardino, CA 92404-5416 2019-11-26
1841836145 Noe Zepeda Peer Specialist 351 N Mt View Ave, San Bernardino, CA 92415-0001 2019-11-21
1265077341 Demario O'ryan Dunn Peer Specialist 820 E Gilbert St, San Bernardino, CA 92415-1403 2019-11-12
1740825827 Cristina Guerra Peer Specialist 820 E Gilbert St, San Bernardino, CA 92415-1403 2019-11-12
Find all providers in SAN BERNARDINO

Competitor

Search similar providers

City SAN BERNARDINO
Zip Code 92408

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Dataset Information

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.

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