Individual provider Active NPI

Aishia Ruiz

  • Physical Therapy Assistant
  • Anaheim, CA
National Provider Identifier
1184348609
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
52047 Issued in CA
Practice address
215 N State College Blvd Ste G
Anaheim, CA 92806-2932
Phone
(714) 999-6596
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 52047 CA Primary

Addresses

Primary practice location

215 N State College Blvd Ste G
Anaheim, CA 92806-2932

Mailing address

215 N State College Blvd Ste G
Anaheim, CA 92806-2932

Other practice location 1

500 S Anaheim Hills Rd Ste 106
Anaheim, CA 92807-4761
Phone (714) 685-0700

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
52047CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
State College Physical Therapy Inc PastSince Oct 2, 2022 Accepting new patients
State College Physical Therapy PastSince Oct 2, 2022 Accepting new patients

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": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1184348609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N STATE COLLEGE BLVD STE G",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N STATE COLLEGE BLVD STE G",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062932",
            "telephone_number": "714-999-6596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S Anaheim Hills Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928074761",
            "country_code": "US",
            "telephone_number": "714-685-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "AISHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "52047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.