Active NPI
Melissa J Estrada-Ruiz
- Marriage & Family Therapist
- Manteca, CA
National Provider Identifier
1144926775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT155844
- Practice address
- 2270 Beppe Ave
Manteca, CA 95337-2078 - Phone
- (209) 207-4509
- NPI assigned
- Feb 6, 2023
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT155844 | CA | Primary |
Addresses
Primary practice location
2270 Beppe Ave
Manteca, CA 95337-2078
Mailing address
2270 Beppe Ave
Manteca, CA 95337-2078
Phone (209) 207-4509
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5820 Owens Dr BLDG E 2ND Floor
Pleasanton, CA 94588-3900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT155844 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients |
Locations
17000 S Harlan Rd
Lathrop, CA 95330
Phone (209) 647-7600
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1548343510
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1144926775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2270 BEPPE AVE",
"city": "MANTECA",
"state": "CA",
"postal_code": "953372078",
"telephone_number": "209-207-4509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2270 BEPPE AVE",
"city": "MANTECA",
"state": "CA",
"postal_code": "953372078",
"telephone_number": "209-207-4509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA-RUIZ",
"first_name": "MELISSA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT155844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manteca, CA
- Mariah Enebrad
- Enhance Psychiatric Advanced Nursing Services Inc
- Diana F. Enrile, MD
- Michael Erdman, D.C.
- Eric Swenson Dental Incorporated
- Bonhoeffer Estrella, PT
- Eugene V. Nguyen, M.D., Inc (Genuine Cares Inc)
- Everypath LLC
- Excel Kidney Care Inc a Professional Medical Corporation
- Amairany Fajardo I
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.