Individual provider Active NPI

Joseph Marruffo

  • Addiction (Substance Use Disorder) Counselor
  • Desert Hot Springs, CA
National Provider Identifier
1154795540
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1218161115 Issued in CA
Practice address
7885 Annandale Ave
Desert Hot Springs, CA 92240-1419
Phone
(760) 329-8730
Fax
(760) 251-2932
NPI assigned
Nov 23, 2015
Last updated
Nov 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1218161115 CA Primary

Addresses

Primary practice location

7885 Annandale Ave
Desert Hot Springs, CA 92240-1419

Mailing address

35 130 Maria Rd
Cathedral City, CA 92234-7020
Phone (760) 424-8194

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

LicenseStateTypeSpecialty
R1218161115CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1154795540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 130 MARIA RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347020",
            "telephone_number": "760-424-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7885 ANNANDALE AVE",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922401419",
            "telephone_number": "760-329-8730",
            "fax_number": "760-251-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRUFFO",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1218161115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desert Hot Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.