Active NPI
Jose D Perez Ruelas
- Rehabilitation Practitioner
- Gilroy, CA
National Provider Identifier
1285884122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 290 Ioof Ave
Gilroy, CA 95020 - Phone
- (408) 846-2100
- NPI assigned
- Sep 29, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CA | ||
| Mental Health Counselor | 101YM0800X | CA | ||
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Rehabilitation Practitioner | 225400000X | CA | Primary |
Addresses
Primary practice location
290 Ioof Ave
Gilroy, CA 95020
Mailing address
290 Ioof Ave
Gilroy, CA 95020-5204
Other practice location 1
365 Whisky Hill Rd
la selva beach, CA 95076
Phone (831) 724-9333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ92069Z | Other | CA | SANTA CRUZ MEDICAL GROUP PTAN# |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1285884122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 IOOF AVE",
"city": "GILROY",
"state": "CA",
"postal_code": "950205204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 IOOF AVE",
"city": "GILROY",
"state": "CA",
"postal_code": "95020",
"telephone_number": "408-846-2100"
}
],
"practiceLocations": [
{
"address_1": "365 Whisky Hill Rd",
"address_purpose": "LOCATION",
"city": "la selva beach",
"state": "CA",
"postal_code": "95076",
"country_code": "US",
"telephone_number": "831-724-9333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ RUELAS",
"first_name": "JOSE",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-29",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CRUZ MEDICAL GROUP PTAN#",
"identifier": "ZZZ92069Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.