ROBERTO RUIZ (NPI# 1043718737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043718737 |
| Entity Type | Individual |
| Full Name | ROBERTO RUIZ |
| Practice Address |
679 S New Hampshire Ave Los Angeles CA 90005-1355 |
| Mailing Address |
2633 111th St Lynwood CA 90262-1713 |
| Practice Telephone | 2136392660 |
| Enumeration Date | 2018-01-27 |
| Last Update Date | 2018-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1043718737 | 05 | |
| TRAINEE | 1043718737 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 204 Hampton Dr, Venice, CA 902912623 | 3103966468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053723494 | Roberto Carrillo Ruiz | Specialist/Technologist | 4200 N Pebble Creek Pkwy Apt 2090, Goodyear, AZ 85395-9032 | 2014-05-20 |
| 1912243775 | Roberto De Jesus Ruiz | Psychiatry & Neurology | 9735 E Fern St, Miami, FL 33157-5402 | 2012-12-26 |
| 1235310426 | Roberto Ruiz Jr. | Specialist/Technologist, Other | 328 Encino St, San Marcos, TX 78666-6914 | 2007-11-16 |
| 1134337652 | Roberto Ruiz | Social Worker | 2725 Byron Dr, Las Vegas, NV 89134-7583 | 2007-05-18 |
| 1922097583 | Roberto C Ruiz Jr. | General Practice | 815 S Closner Blvd, Edinburg, TX 78539-5655 | 2005-10-17 |
| 1770578148 | Roberto Ruiz | Internal Medicine | 15255 N 40th St, Suite 127, Phoenix, AZ 85032-4624 | 2005-09-13 |
| 1679197099 | Roberto Ruiz | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2020-06-01 |
| 1720462047 | Roberto Gabriel Ruiz | Dentist | 1020 W Broad St, Bethlehem, PA 18018-5024 | 2015-07-16 |
| 1902149727 | Roberto Hugo Ruiz | Internal Medicine | 11750 Sw 40th St, Miami, FL 33175-3530 | 2013-03-29 |
| 1336471606 | Roberto Ruiz | Internal Medicine | 500 W 4th St, Odessa, TX 79761-5001 | 2010-02-11 |
| Street Address |
679 S NEW HAMPSHIRE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90005-1355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235205782 | Cipriano Edward Pinkney | Counselor | 679 S New Hampshire Ave, 400, Los Angeles, CA 90005-1355 | 2006-11-27 |
| 1366059669 | Catarina F Fleury | Registered Nurse | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2020-09-30 |
| 1154941821 | Daniel Mendez | Case Manager/Care Coordinator | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2020-04-22 |
| 1891320909 | Isabella Ballerini | Case Manager/Care Coordinator | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2020-03-09 |
| 1619514239 | Shannon Michelle Sullivan | Rehabilitation Practitioner | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-12-02 |
| 1396394094 | Jessica Destiny Jones | Student in an Organized Health Care Education/Training Program | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-09-05 |
| 1518519313 | Edward K Cho | Case Manager/Care Coordinator | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-07-11 |
| 1679134886 | Joshua Xiong | Counselor | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-06-27 |
| 1114586310 | Alejandro De La Torre | Student in an Organized Health Care Education/Training Program | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-06-11 |
| 1063078202 | Wendell Sacramento | Licensed Psychiatric Technician | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964680 | Hong Il Kim | Dentist | 610 South Havard Blvd, 101, Los Angeles, CA 90005 | 2020-02-13 |
| 1467929265 | Galina Vardanyan | Optometrist | 621 S Western Ave Ste 214, Los Angeles, CA 90005 | 2018-10-30 |
| 1740761642 | Kyung Sook Chung | Acupuncturist | 603 S Mariposa Ave #102, Los Angeles, CA 90005 | 2018-08-28 |
| 1891274155 | Chinese Healing Arts, Inc | Acupuncturist | 2837 Hyperion Ave, Los Angeles, CA 90005 | 2018-08-08 |
| 1992298624 | Hak S. Choi Dds Inc | Dentist | 680 Wilshire Pl Ste 314, Los Angeles, CA 90005 | 2018-06-07 |
| 1891287918 | Marlene Sanchez Torres | Counselor | 679 S New Hampshire Ave # 400, Los Angeles, CA 90005 | 2018-06-04 |
| 1255828562 | Arianna Houriani | Student in an Organized Health Care Education/Training Program | 714 S Plymouth Blvd, Los Angeles, CA 90005 | 2018-04-23 |
| 1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
| 1255859385 | Tiany Siao Tian So | Dietitian, Registered | 740 S St Andrew Pl, Apt 15, Los Angeles, CA 90005 | 2017-09-08 |
| 1962931246 | Jooyong Shin | Acupuncturist | 400 S Western Ave #203, Los Angeles, CA 90005 | 2017-06-08 |
| Find all providers in zip 90005 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061624 | Elysian Psychology Inc | Counselor | 10250 Constellation Blvd, Los Angeles, CA 90067-6200 | 2020-04-15 |
| 1912530528 | Nicole Yvette Sheppard | Counselor | 1135 S Beverly Dr Ste A, Los Angeles, CA 90035-1193 | 2020-02-21 |
| 1376190645 | Avraham Dovid Meshchaninov | Counselor | 8881 W Pico Blvd Ste 1, Los Angeles, CA 90035-3336 | 2019-08-21 |
| 1063071652 | Cherae Nikia Stovall | Counselor | 1704 Manchester Boulevard, Suite 202, Los Angeles, CA 90047 | 2019-06-07 |
| 1730688391 | Total Care Management Services, Inc | Counselor | 10801 National Blvd Ste 253, Los Angeles, CA 90064-4178 | 2018-02-08 |
| 1255846200 | Jill Caller Kapenstein | Counselor | 6221 Wilshire Blvd Ste 518, Los Angeles, CA 90048-5223 | 2017-12-12 |
| 1982089959 | Judith Rinda Crane | Counselor | 2959 S Sepulveda Blvd, Los Angeles, CA 90064-3912 | 2015-07-20 |
| 1497152995 | Lisa Maznio | Counselor | 1400 N Martel Ave Apt 202, Los Angeles, CA 90046 | 2014-11-26 |
| 1851793483 | Leslie Rith-najarian | Counselor | John Wooden Center West, 221 Westwood Plaza, Counseling and Psychological Services, Los Angeles, CA 90095 | 2014-09-26 |
| 1902206394 | David Richardson IIi | Counselor | 2205 S Bentley Ave, Apt 102, Los Angeles, CA 90064-1978 | 2014-09-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90005 |
Please comment or provide details below to improve the information on ROBERTO RUIZ.
| 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.