RUBEN DAVID WILLIS (NPI# 1093329104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093329104 |
| Entity Type | Individual |
| Full Name | RUBEN DAVID WILLIS |
| Credential | CMT |
| Practice Address |
3264 Rainforest Dr Riverside CA 92503-0824 |
| Practice Telephone | 3525737207 |
| Mailing Telephone | 3525737207 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 77613 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3264 RAINFOREST DR |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-0824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907653 | Jennifer Marie Nelson | Massage Therapist | 4295 10th St, Riverside, CA 92501-3111 | 2020-09-17 |
| 1801400577 | Danisha Vassar | Massage Therapist | 616 Dodge Ct Apt A, Riverside, OH 45431-4893 | 2020-09-01 |
| 1356905939 | Helen Thomas | Massage Therapist | 6250 Brockton Ave, Riverside, CA 92506-2235 | 2019-04-29 |
| 1083176895 | Marissa Noel Rodriguez | Massage Therapist | 3860 Tyler St, Riverside, CA 92503-3431 | 2019-04-01 |
| 1184191009 | Samson Ayele Negash | Massage Therapist | 12579 Bougainvillea Way, Riverside, CA 92503-7023 | 2018-10-29 |
| 1174057509 | Tommy Washington | Massage Therapist | 2891 Canyon Crest Dr, Apt# 13, Riverside, CA 92507-7906 | 2017-04-12 |
| 1558727537 | Lupe Rodriguez | Massage Therapist | 4356 Via San Luis, Riverside, CA 92504-2453 | 2016-01-06 |
| 1568707313 | Know Knots Massage | Massage Therapist | 8052 Limonite Ave, Ste 104, Riverside, CA 92509-6124 | 2012-12-05 |
| 1952664997 | Randall Jaeger Worthington | Massage Therapist | 6422 Magnolia Ave, Riverside, CA 92506-2408 | 2012-06-22 |
| 1629336235 | Riverside City Gym, Inc. | Massage Therapist | 3485 University Ave, Riverside, CA 92501-3326 | 2012-05-02 |
| Find all providers in RIVERSIDE | ||||
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| 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.