Active NPI
Nan Ruffyn Aguirre, PH.D.
- Clinical Psychologist
- Long Beach, CA
National Provider Identifier
1013920065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 17979
- Practice address
- 5855 E Naples PLZ
Ste 308
Long Beach, CA 90803-5091 - Phone
- (562) 277-1337
- Fax
- (562) 344-5446
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 17979 | CA | Primary |
Addresses
Primary practice location
5855 E Naples PLZ
Ste 308
Long Beach, CA 90803-5091
Mailing address
5855 E Naples PLZ
Ste 308
Long Beach, CA 90803-5091
Phone (562) 277-1337
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPL 17979 0 | Other | CA | BLUE SHIELD |
| 6958240 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070608000295 | CA | Practitioner - Clinical Psychologist | 7113025529 | Practice locations: Long Beach, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5855 E Naples PLZ
Suite 308
Long Beach, CA 90803-5091
Phone (562) 277-1337
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17979 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1013920065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5855 E NAPLES PLZ",
"address_2": "STE 308",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908035091",
"telephone_number": "562-277-1337",
"fax_number": "562-344-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5855 E NAPLES PLZ",
"address_2": "STE 308",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908035091",
"telephone_number": "562-277-1337",
"fax_number": "562-344-5446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUIRRE",
"first_name": "NAN",
"middle_name": "RUFFYN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 17979",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "OPL 17979 0",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6958240",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.