MR. DERRICK RUIZ (NPI# 1255952172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255952172 |
| Entity Type | Individual |
| Full Name | MR. DERRICK RUIZ |
| Credential | 13921-RAC |
| Practice Address |
73 N 2nd Ave Ste B Chula Vista CA 91910-1124 |
| Practice Telephone | 6194264801 |
| Practice Fax Number | 6194260034 |
| Mailing Telephone | 6194264801 |
| Mailing Fax Number | 6194260034 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13921-RAC | CA | Behavioral Health & Social Service Providers |
| Street Address |
73 N 2ND AVE STE B |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134218696 | Greg Thompson | Counselor | 73 N 2nd Ave Ste B, Chula Vista, CA 91910-1124 | 2006-10-12 |
| 1831701374 | Oscar Stephenson | Counselor | 73 N 2nd Ave Ste B, Chula Vista, CA 91910-1124 | 2020-08-17 |
| 1720622251 | Oscar G Torres | Counselor | 73 N 2nd Ave Ste B, Chula Vista, CA 91910-1124 | 2019-10-28 |
| 1750935961 | Rafael Angel Matos | Counselor | 73 N 2nd Ave Ste B, Chula Vista, CA 91910-1124 | 2019-07-25 |
| 1033676002 | Chris Whitehead | Counselor | 73 N 2nd Ave Ste B, Chula Vista, CA 91910-1124 | 2019-02-26 |
| 1003373002 | Raul Franco | Counselor | 73 N 2nd Ave Ste B, Chula Vista, CA 91910-1124 | 2019-02-26 |
| 1215494372 | Carlos Alberto Agundez | Counselor | 73 N 2nd Ave Ste B, Chula Vista, CA 91910-1124 | 2019-02-25 |
| 1982103842 | David Michael Diaz | Counselor | 73 N 2nd Ave Ste B, Chula Vista, CA 91910-1124 | 2018-02-06 |
| 1275031882 | Gustavo Orozco | Counselor | 73 N 2nd Ave Ste B, Chula Vista, CA 91910-1124 | 2018-01-29 |
| 1023516648 | Armando Lomeli | Counselor | 73 N 2nd Ave Ste B, Chula Vista, CA 91910-1124 | 2018-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288088 | Rhett Creel | Counselor | 1172 Third Ave Ste D, Chula Vista, CA 91911-3116 | 2020-06-01 |
| 1841848157 | Leanna Marie Amundson | Counselor | 1180 3rd Ave Ste C3c4, Chula Vista, CA 91911-3139 | 2019-08-29 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1568924884 | Irene Merritt | Counselor | 1172 Third Ave Ste D1, Chula Vista, CA 91911-3116 | 2019-04-04 |
| 1124585542 | Ronald Laurence Smith | Counselor | 73 N 2nd Ave, Chula Vista, CA 91910-1124 | 2019-02-21 |
| 1841757267 | Jesus Abel Rodriguez | Counselor | 73 N 2nd Ave Apt B, Chula Vista, CA 91910-1124 | 2019-02-21 |
| 1053887414 | Javier A Ballesteros | Counselor | 1095 Bay Blvd, Chula Vista, CA 91911-1648 | 2018-10-23 |
| 1942704051 | Elias Khathori Najor | Counselor | 1180 Third Ave Ste 3, Chula Vista, CA 91911-3139 | 2018-03-22 |
| 1033610035 | Sadie Marie Callanan | Counselor | 1180 Third Ave, Chula Vista, CA 91911-3139 | 2018-02-24 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
Please comment or provide details below to improve the information on MR. DERRICK 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.