Individual provider Active NPI

Patricia A Ruddy, MFT# 41928

  • Marriage & Family Therapist
  • Westlake Village, CA
National Provider Identifier
1285751198
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT41928 Issued in CA
Practice address
5743 Corsa Ave Ste 103
Westlake Village, CA 91362-6438
Phone
(805) 405-2850
Fax
(805) 374-1774
NPI assigned
Mar 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT41928 CA Primary

Addresses

Primary practice location

5743 Corsa Ave Ste 103
Westlake Village, CA 91362-6438

Mailing address

5743 Corsa Ave Ste 103
Westlake Village, CA 91362-6438
Phone (805) 405-2850

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
I20250929001408 CA Practitioner - Marriage and Family Therapist 9931605029 Reassigns benefits to 1 organization
Practice locations: Westlake Village, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5201 Great America Pkwy
Suite 320
Santa Clara, CA 95054-1121

5743 Corsa Ave
Suite 103
Westlake Village, CA 91362-4027

5743 Corsa Ave
Suite 103
Westlake Village, CA 91362-6438
Phone 80540528500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT41928CAMDMarriage & Family Therapist
41928CAMDMassage Therapist

Organizations & group practices 1

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": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1285751198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE STE 103",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626438",
            "telephone_number": "805-405-2850",
            "fax_number": "805-374-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE STE 103",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626438",
            "telephone_number": "805-405-2850",
            "fax_number": "805-374-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDY",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "MFT# 41928",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT41928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.