Individual provider Active NPI

Maria Susana Del Ruth, MSN, PHN, RN

  • Case Management Registered Nurse
  • Indio, CA
National Provider Identifier
1013470111
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
95093249 Issued in CA
Practice address
47-923 Oasis Street
PHN Suite
Indio, CA 92201
Phone
(951) 202-7606
NPI assigned
Apr 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC0400X 95093249 CA Primary

Addresses

Primary practice location

47-923 Oasis Street
PHN Suite
Indio, CA 92201

Mailing address

47-923 Oasis Street
PHN Suite
Indio, CA 92201
Phone (951) 202-7606

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdelruth@rivco.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95093249CAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1013470111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47-923 OASIS STREET",
            "address_2": "PHN SUITE",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "951-202-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47-923 OASIS STREET",
            "address_2": "PHN SUITE",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "951-202-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL RUTH",
        "first_name": "MARIA",
        "middle_name": "SUSANA",
        "name_prefix": "Ms.",
        "credential": "MSN, PHN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "95093249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdelruth@rivco.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "47-923 Oasis Street",
            "address_2": "PHN Suite",
            "city": "Indio",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.