Active NPI
Christine E Ruiz, LCSW
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1265665541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 77525
- Practice address
- 8928 Volunteer LN Ste 100
Sacramento, CA 95826-3238 - Phone
- (916) 368-5114
- NPI assigned
- Sep 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | 62352 | CA | |
| Clinical Social Worker | 1041C0700X | 77525 | CA | Primary |
Addresses
Primary practice location
8928 Volunteer LN Ste 100
Sacramento, CA 95826-3238
Mailing address
1430 Kitchner Rd
Sacramento, CA 95822-3441
Other practice location 1
5030 El Camino Ave
Carmichael, CA 95608-4650
Phone (916) 609-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043541980 | Other | CA | NPI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62352 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1265665541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 KITCHNER RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958223441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8928 VOLUNTEER LN STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958263238",
"telephone_number": "916-368-5114"
}
],
"practiceLocations": [
{
"address_1": "5030 El Camino Ave",
"address_purpose": "LOCATION",
"city": "Carmichael",
"state": "CA",
"postal_code": "956084650",
"country_code": "US",
"telephone_number": "916-609-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUIZ",
"first_name": "CHRISTINE",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "62352",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "77525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1043541980",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.