Santa Ysabel Social Service

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SANTA YSABEL SOCIAL SERVICE

Practice address

101 Schoolhouse Canyon Road
Santa Ysabel, CA 92070

Phone

(760) 765-1106

Fax

(760) 765-1312

NPI assigned

Oct 26, 2007

Last updated

Oct 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Sue Ruis

Title

Director

Phone

(760) 765-1106

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1073792032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701",
            "city": "SANTA YSABEL",
            "state": "CA",
            "postal_code": "920700701",
            "telephone_number": "760-765-1106",
            "fax_number": "760-765-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SCHOOLHOUSE CANYON ROAD",
            "city": "SANTA YSABEL",
            "state": "CA",
            "postal_code": "92070",
            "telephone_number": "760-765-1106",
            "fax_number": "760-765-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA YSABEL SOCIAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "RUIS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "760-765-1106",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Joann Evans Gernandt, 50395 MFT
• Vika Golovanova
• Karen Hawthorne, PHD
• Ihc Santa Ysabel Pharmacy
• Indian Health Council, Inc.
• Tiffany Schepe, M.S. CCC-SLP

• Case Management Agency in Santa Ysabel, CA
• Providers in Santa Ysabel, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.