Elias Omar Ruiloba, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25458 Issued in AZ

Practice address

20950 N Tatum Blvd Ste 380
Phoenix, AZ 85050-4258

Phone

(480) 626-7584

Fax

(480) 210-0230

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• E Omar Ruiloba Professional name

Medicare fee-for-service enrollment

Enrolled in AZ, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Serenity TMS Centers LLCGroup PAC ID 0840550596, 45 clinicians

West Yavapai Guidance Clinic IncGroup PAC ID 3375524358, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• West Yavapai Guidance Clinic, Inc

  • Psychiatric Hospital
  • Prescott, AZ
  • NPI 1952550071
  Medicare reassignment Care Compare group NPD
• Serenity TMS Centers LLC

  • Psychiatry Physician
  • Lehi, UT
  • NPI 1710492095

  AZ

  Medicare reassignment Care Compare group NPD
• West Yavapai Guidance Clinic

  • Clinic/Center
  • Camp Verde, AZ
  • NPI 1538878186
  NPD
• West Yavapai Guidance Clinic, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chino Valley, AZ
  • NPI 1811337637
  NPD
• Colorado Plains Physician Practices LLC

  • Cardiovascular Disease Physician
  • Fort Morgan, CO
  • NPI 1821042409
  NPD
• Mohave Mental Health Clinic Inc

  • Clinic/Center
  • Lake Havasu City, AZ
  • NPI 1316023864
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1124014196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD STE 380",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504258",
            "telephone_number": "480-626-7584",
            "fax_number": "480-210-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 N TATUM BLVD STE 380",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504258",
            "telephone_number": "480-626-7584",
            "fax_number": "480-210-0230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2002 N Stockton Hill Rd",
            "address_2": "#104",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864014698",
            "country_code": "US",
            "telephone_number": "928-718-4800",
            "fax_number": "928-757-3256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2046 W Riverview Auto Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852017597",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1860 N 95th Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850375074",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 E Chandler Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850487646",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 E Pecos Rd Ste 247",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852953214",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2355 E Camelback Rd Ste 625",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850163458",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 N Gilbert Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342394",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUILOBA",
        "first_name": "ELIAS",
        "middle_name": "OMAR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "25458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "E",
            "last_name": "RUILOBA",
            "middle_name": "OMAR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Allison Rugg
• Sebastian B Ruggeri, MD
• Connie T Rugolo, MS/CCC-LP
• Anne-Michelle Ruha, M.D.
• Rugabirwa Heri Ruhorimbere
• Kamran Ruintan, D.M.D.
• Catherine Wangui Ruiru, PHARMD
• Lissette Ruiz Ibarra
• Diana Paola Ruiz Monroy
• Abigail Ruiz Vilches

• Psychiatry Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.