Antonio Ruiz, MA. MFT INTERN

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

#73702 Issued in CA

Practice address

10110 Leucadia LN
Riverside, CA 92503-1030

Phone

(951) 217-5233

Fax

(951) 530-1601

NPI assigned

Nov 7, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Tony Ruiz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1013346337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 LEUCADIA LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925031030",
            "telephone_number": "951-217-5233",
            "fax_number": "951-530-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 LEUCADIA LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925031030",
            "telephone_number": "951-217-5233",
            "fax_number": "951-530-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "MA. MFT INTERN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "#73702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "RUIZ",
            "prefix": "MR.",
            "credential": "MA. MFT INTERN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sandra Ruiz-Harrelson
• Abigail Ruiz
• Alyssa Ruiz
• Amber Ruiz
• Amy Lisette Ruiz
• Ariana Ruiz
• Ariel Myah Ruiz
• Christina Carmen Ruiz
• Dalila Isabel Ruiz, RD
• Destiny Marie Ruiz VIII

• Case Management Agency in Riverside, CA
• Providers in Riverside, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.