Tiffanie Camille Ruiz, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95018156 Issued in CA

Practice address

222 W Eulalia St Ste 211
Glendale, CA 91204-2851

Phone

(818) 502-4567

Fax

(818) 502-4568

NPI assigned

Oct 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1043972870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST STE 211",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042851",
            "telephone_number": "818-502-4567",
            "fax_number": "818-502-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST STE 211",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042851",
            "telephone_number": "818-502-4567",
            "fax_number": "818-502-4568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7023 Owensmouth Ave",
            "address_purpose": "LOCATION",
            "city": "Canoga Park",
            "state": "CA",
            "postal_code": "913032006",
            "country_code": "US",
            "telephone_number": "818-444-9870",
            "fax_number": "909-453-6698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "TIFFANIE",
        "middle_name": "CAMILLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Ruiz
• Amado Ruiz, RBT, MS.
• Angelica Ruiz
• Bertha Ruiz, M.S.
• Carmen Ruiz, MD
• Richard L Rupp
• Russel R Jacinto DMD Inc
• Lee Russell
• Ryan J Russell
• Cristina Ruvalcaba Zesati

• Family Nurse Practitioner in Glendale, CA
• Providers in Glendale, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.