Jessica Ruiz

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SPA5739 Issued in CA

Practice address

92 Argonaut Ste 170
Aliso Viejo, CA 92656-4130

Phone

(949) 916-1654

Fax

(949) 916-1658

NPI assigned

Jul 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1205409455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 ARGONAUT STE 170",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564130",
            "telephone_number": "949-916-1654",
            "fax_number": "949-916-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 ARGONAUT STE 170",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564130",
            "telephone_number": "949-916-1654",
            "fax_number": "949-916-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA5739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PURE PEDIATRIC THERAPY",
            "identifier": "1811324825",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://purepeds.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "92 Argonaut Ste 170",
            "city": "Aliso Viejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926564130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaitlyn Helen Rosa, BSN, RN
• Adriana Rossi
• Lanier Rossignol
• Maria F Rubio, LMFT
• Brenda Caro Ruelas
• Ryan S Labovitch MD Incorporated
• Blake William Ryan, DPT
• Ryanrae Skin
• Mona Saati, D.M.D
• Wendy Grant Sabouri, FNP

• Speech-Language Assistant in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.