Ruth Avalos

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

450 N Bedford Dr Ste 304
Beverly Hills, CA 90210-4307

Phone

(310) 614-3206

NPI assigned

May 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 22, 2024 through Feb 22, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• St. Louis Center for Family Development, LLC

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1841430790
  NPD (past)

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1235540105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 NATIONAL BLVD APT 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643799",
            "telephone_number": "310-614-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N BEDFORD DR STE 304",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104307",
            "telephone_number": "310-614-3206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4236 Lindell Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631082948",
            "country_code": "US",
            "telephone_number": "314-531-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVALOS",
        "first_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ravalos@socaldbt.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "450 N Bedford Dr Ste 304",
            "city": "Beverly Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902104307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Xiao Huan Jin Austin, AC
• Arielle Nykole Auston, NP-C
• Ava Shamban a Medical Corporation
• Sourpik Avakian, MD
• Noel Avalos, DPT
• Avant Anesthesia Associates Inc
• Avant Plastic Surgery Inc
• Avant Surgery Center LLC
• Avenir Health Partners, Professional Corporation
• Aviccenna Medical Group

• Clinical Social Worker in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.