Active NPI
Mariaisabel Ruiz Vasquez
- Addiction (Substance Use Disorder) Counselor
- Pasadena, CA
National Provider Identifier
1043891617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 15684-RAC
- Practice address
- 1450 N Lake Ave Ste 150
Pasadena, CA 91104-2388 - Phone
- (626) 794-1161
- NPI assigned
- Apr 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15684-RAC | CA | Primary |
Addresses
Primary practice location
1450 N Lake Ave Ste 150
Pasadena, CA 91104-2388
Mailing address
1450 N Lake Ave Ste 150
Pasadena, CA 91104-2388
Phone (626) 794-1161
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15684-RAC | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1043891617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 N LAKE AVE STE 150",
"city": "PASADENA",
"state": "CA",
"postal_code": "911042388",
"telephone_number": "626-794-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 N LAKE AVE STE 150",
"city": "PASADENA",
"state": "CA",
"postal_code": "911042388",
"telephone_number": "626-794-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ VASQUEZ",
"first_name": "MARIAISABEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-15",
"last_updated": "2022-05-24",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "15684-RAC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.