Individual provider Active NPI

Edgar O Ruano, LPCC

  • Professional Counselor
  • Temecula, CA
National Provider Identifier
1205343282
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
21548 Issued in CA
Practice address
31573 Rancho Pueblo Rd Ste 200
Temecula, CA 92592-4854
Phone
(858) 279-1223
NPI assigned
Dec 29, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 21548 CA Primary
Mental Health Counselor 101YM0800X 21548 CA
Marriage & Family Therapist 106H00000X CA

Addresses

Primary practice location

31573 Rancho Pueblo Rd Ste 200
Temecula, CA 92592-4854

Mailing address

31573 Rancho Pueblo Rd Ste 200
Temecula, CA 92592-4854
Phone (858) 279-1223

Other practice location 1

1100 Cesery Blvd Ste 100
Jacksonville, FL 32211-5656
Phone (904) 448-4700 ext. 310

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260122001030 CA Practitioner - Mental Health Counselor 2961989835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

31573 Rancho Pueblo Rd
Suite 200
Temecula, CA 92592-4854
Phone (858) 279-1223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc CurrentSince Jan 13, 2026 Accepting new patients
Child Guidance Center, Inc. Past Accepting new patients

Locations

1480 64th St
Ste 150
Emeryville, CA 94608
Phone (415) 296-5292

4361 Latham St
Ste 220
Riverside, CA 92501
Phone (206) 906-5385

31573 Rancho Pueblo Rd
Ste 200
Temecula, CA 92592

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": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1205343282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31573 RANCHO PUEBLO RD STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924854",
            "telephone_number": "858-279-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31573 RANCHO PUEBLO RD STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924854",
            "telephone_number": "858-279-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Cesery Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322115656",
            "country_code": "US",
            "telephone_number": "904-448-4700 x310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUANO",
        "first_name": "EDGAR",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-29",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "21548",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "21548",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.