Active NPI
Jacob Fernandez Ruiz
- Behavior Technician
- Waipahu, HI
National Provider Identifier
1225713670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 94-207 Paioa PL Apt M101
Waipahu, HI 96797-5034 - Phone
- (808) 868-9465
- NPI assigned
- Jun 21, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-276886 | HI | |
| Behavior Technician | 106S00000X | HI | Primary |
Addresses
Primary practice location
94-207 Paioa PL Apt M101
Waipahu, HI 96797-5034
Mailing address
99-870 Iwaena St Ste 101
Aiea, HI 96701-3278
Phone (808) 277-7736
Other practice location 1
99-870 Iwaena St Ste 101
Aiea, HI 96701-3278
Phone (808) 277-7736
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-276886 | HI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735948800000",
"number": "1225713670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99-870 IWAENA ST STE 101",
"city": "AIEA",
"state": "HI",
"postal_code": "967013278",
"telephone_number": "808-277-7736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-207 PAIOA PL APT M101",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967975034",
"telephone_number": "808-868-9465"
}
],
"practiceLocations": [
{
"address_1": "99-870 Iwaena St Ste 101",
"address_purpose": "LOCATION",
"city": "Aiea",
"state": "HI",
"postal_code": "967013278",
"country_code": "US",
"telephone_number": "808-277-7736",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDEZ RUIZ",
"first_name": "JACOB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-21",
"last_updated": "2025-01-04",
"certification_date": "2025-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": "RBT-23-276886",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.