Individual provider Active NPI

Maira Metzli Ruiz

  • Behavior Technician
  • Royal Oaks, CA
National Provider Identifier
1144895996
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
318 Elkhorn Rd # RS
Royal Oaks, CA 95076-5602
Phone
(831) 889-8034
NPI assigned
May 24, 2021
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA Primary

Addresses

Primary practice location

318 Elkhorn Rd # RS
Royal Oaks, CA 95076-5602

Mailing address

318 Elkhorn Rd
Royal Oaks, CA 95076-5602

Other practice location 1

1025 Atlantic Ave Ste 101
Alameda, CA 94501-1188
Phone (510) 871-7468

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1144895996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 ELKHORN RD",
            "city": "ROYAL OAKS",
            "state": "CA",
            "postal_code": "950765602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 ELKHORN RD # RS",
            "city": "ROYAL OAKS",
            "state": "CA",
            "postal_code": "950765602",
            "telephone_number": "831-889-8034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Atlantic Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Alameda",
            "state": "CA",
            "postal_code": "945011188",
            "country_code": "US",
            "telephone_number": "510-871-7468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "MAIRA",
        "middle_name": "METZLI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.