Individual provider Active NPI

Angelica Nuno

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1023546637
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
124272 Issued in CA
Practice address
11801 Pierce St Ste 200
Riverside, CA 92505-4400
Phone
(951) 743-9096
NPI assigned
May 25, 2017
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 124272 CA Primary

Addresses

Primary practice location

11801 Pierce St Ste 200
Riverside, CA 92505-4400

Mailing address

11801 Pierce St Ste 200
Riverside, CA 92505-4400
Phone (951) 743-9096

Other practice location 1

1950 S Sunwest Ln Ste 200
San Bernardino, CA 92408-3248
Phone (909) 252-4010

Other practice location 2

658 E Brier Dr Ste 200
San Bernardino, CA 92408-2847
Phone (909) 501-0700

Other names 1

  • Angelica Ruiz Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307000693 CA Practitioner - Mental Health Counselor 2668818113 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
124272CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Bernardino CurrentSince May 22, 2022 Accepting new patients
Wise Mind Counseling Services Inc. Marriage & Family Therapist CurrentSince Apr 16, 2024 Accepting new patients

Locations

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

658 E Brier Dr
Ste 200
San Bernardino, CA 92408
Phone (909) 501-0700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1023546637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 PIERCE ST STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925054400",
            "telephone_number": "951-743-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 PIERCE ST STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925054400",
            "telephone_number": "951-743-9096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 S Sunwest Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083248",
            "country_code": "US",
            "telephone_number": "909-252-4010",
            "fax_number": "909-252-4055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "658 E Brier Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924082847",
            "country_code": "US",
            "telephone_number": "909-501-0700",
            "fax_number": "909-387-7611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNO",
        "first_name": "ANGELICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELICA",
            "last_name": "RUIZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.