Active NPI
Maricela Ruiz
- Licensed Psychiatric Technician
- Fresno, CA
National Provider Identifier
1104609775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 34384
- Practice address
- 6051 Suite 201
Fresno, CA 93710 - Phone
- (559) 944-7235
- Fax
- (559) 248-8555
- NPI assigned
- Aug 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 34384 | CA | Primary |
Addresses
Primary practice location
6051 Suite 201
Fresno, CA 93710
Mailing address
992 Big Sandy CT
Tulare, CA 93274-6244
Phone (559) 668-8803
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1104609775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "992 BIG SANDY CT",
"city": "TULARE",
"state": "CA",
"postal_code": "932746244",
"telephone_number": "559-668-8803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6051 SUITE 201",
"city": "FRESNO",
"state": "CA",
"postal_code": "93710",
"telephone_number": "559-944-7235",
"fax_number": "559-248-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "MARICELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "34384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.