Individual provider Active NPI

Dulce Farfan Ruiz

  • Licensed Vocational Nurse
  • Ceres, CA
National Provider Identifier
1174412795
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
736089 Issued in CA
Practice address
1768 Mitchell Rd Ste 301
Ceres, CA 95307-2156
Phone
(209) 353-4838
NPI assigned
Jun 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 736089 CA Primary

Addresses

Primary practice location

1768 Mitchell Rd Ste 301
Ceres, CA 95307-2156

Mailing address

1768 Mitchell Rd Ste 301
Ceres, CA 95307-2156
Phone (209) 353-4838

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
736089CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Treatment Centers, LLC CurrentSince Jul 9, 2025 Accepting new patients
Aegis Treatment Centers, LLC PastSince Jul 9, 2025 Accepting new patients

Locations

1768 Mitchell Rd
Ste 301
Ceres, CA 95307
Phone (209) 353-4838

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1174412795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 MITCHELL RD STE 301",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072156",
            "telephone_number": "209-353-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 MITCHELL RD STE 301",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072156",
            "telephone_number": "209-353-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARFAN RUIZ",
        "first_name": "DULCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "736089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceres, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.