Individual provider Active NPI

Carolina Ruiz

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1104404201
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT34952-TLG Issued in CA
Practice address
1127 Wilshire Blvd Ste 1600
Los Angeles, CA 90017-4007
Phone
(213) 250-5333
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT34952-TLG CA Primary

Addresses

Primary practice location

1127 Wilshire Blvd Ste 1600
Los Angeles, CA 90017-4007

Mailing address

427 S Manhattan PL Apt 201
Los Angeles, CA 90020-5031
Phone (786) 420-0516

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220620001820 CA Practitioner - Optometry 8628457793 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey M Sage DO IncGroup PAC ID 4385921451, 2 clinicians

Practice addresses (Care Compare)

1127 Wilshire Blvd
Suite 1600
Los Angeles, CA 90017-4007
Phone (213) 250-7243

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT34952-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners Optometrist CurrentSince Jun 27, 2024 Accepting new patients
Cha Medical and Surgical Group, PC CurrentSince Jul 1, 2022 Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc Optometrist CurrentSince Jul 15, 2022 Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc. Optometrist CurrentSince Jul 15, 2022 Accepting new patients
First Choice Physician Partners CurrentSince Jun 27, 2024 Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc Optometrist Current Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc. Optometrist Past Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc Optometrist Past Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc Past Accepting new patients

Locations

10942 Ramona Blvd
Ste A
El Monte, CA 91731
Phone (626) 443-1282

2715 E Florence Ave
Huntington Pk, CA 90255
Phone (323) 581-0120

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1760 Termino Ave
Ste 306
Long Beach, CA 90804

1300 N Vermont Ave
Ste 101
Los Angeles, CA 90027
Phone (323) 644-4445

1127 Wilshire Blvd
Ste 1600
Los Angeles, CA 90017
Phone (213) 250-5333

139 S Alvarado St
Los Angeles, CA 90057
Phone (213) 484-0170

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

2446 W Whittier Blvd
Montebello, CA 90640
Phone (213) 728-5500

1325 N Rose Dr
Ste 100
Placentia, CA 92870
Phone (714) 729-0103

1520 N Grand Ave
Santa Ana, CA 92701
Phone (714) 558-1193

7100 Van Nuys Blvd
Ste 120
Van Nuys, CA 91405
Phone (818) 988-1111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ZovcCzFH9WoaIYAtfnADtCEJJqhJ7vbO/
  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_chamg

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1104404201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S MANHATTAN PL APT 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205031",
            "telephone_number": "786-420-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 1600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174007",
            "telephone_number": "213-250-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CAROLINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34952-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.