Active NPI
Erica M Ruiz MD Professional
- Family Medicine Physician
- La Quinta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A104555
- Legal business name
- ERICA M RUIZ MD PROFESSIONAL
- Practice address
- 47110 Washington St Ste 203
La Quinta, CA 92253-2186 - Phone
- (760) 564-9205
- Fax
- (760) 771-6243
- NPI assigned
- Aug 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Erica Michelle Ruiz, MD
- Title
- MD
- Phone
- (760) 564-9205
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A104555 | CA | Primary |
Addresses
Primary practice location
47110 Washington St Ste 203
La Quinta, CA 92253-2186
Mailing address
47110 Washington St Ste 203
La Quinta, CA 92253-2186
Phone (760) 564-9205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1103601 | Erica M Ruiz, MD Prof Corp | Certificate of waiver | Nov 6, 2026 |
National Provider Directory
National Provider DirectoryLocations
47110 Washington St
Ste 203
La Quinta, CA 92253
Phone (760) 564-9205
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- La Quinta, CA
- NPI 1215191184
-
- Family Nurse Practitioner
- La Quinta, CA
- NPI 1831377829
-
- Community Health Worker
- La Quinta, CA
- NPI 1275328296
-
- Family Medicine Physician
- La Quinta, CA
- NPI 1598961708
-
- Physician Assistant
- Rancho Mirage, CA
- NPI 1760406979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576022400000",
"number": "1306092465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47110 WASHINGTON ST STE 203",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922532186",
"telephone_number": "760-564-9205",
"fax_number": "760-771-6243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47110 WASHINGTON ST STE 203",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922532186",
"telephone_number": "760-564-9205",
"fax_number": "760-771-6243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERICA M RUIZ MD PROFESSIONAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-08",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A",
"authorized_official_last_name": "RUIZ",
"authorized_official_first_name": "ERICA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "760-564-9205",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A104555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Quinta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.