Active NPI
Tayina Ruiz
- Speech-Language Assistant
- San Marino, CA
National Provider Identifier
1144048414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 8775
- Practice address
- 2304 Huntington Dr
San Marino, CA 91108-2649 - Phone
- (626) 234-2232
- NPI assigned
- Sep 26, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 8775 | CA | Primary |
Addresses
Primary practice location
2304 Huntington Dr
San Marino, CA 91108-2649
Mailing address
11409 Farndon St
South El Monte, CA 91733-4509
Phone (626) 552-1601
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8775 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1144048414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11409 FARNDON ST",
"city": "SOUTH EL MONTE",
"state": "CA",
"postal_code": "917334509",
"telephone_number": "626-552-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2304 HUNTINGTON DR",
"city": "SAN MARINO",
"state": "CA",
"postal_code": "911082649",
"telephone_number": "626-234-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "TAYINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-26",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "8775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marino, CA
- Radiological Associates Medical Group, Inc
- Regency Therapy Resources
- David D. Richardson, M.D.
- Robert a. Mecum, M.D., Inc.
- Ghassan K Roumani, M.D.
- Erica Salzman, LEP
- San Marino Home Health Inc
- San Marino Pediatric Associates
- San Marino Psychiatric Associates, Inc.
- San Marino Psychiatric Hospitalists, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.