Individual provider Active NPI

Christopher Ruiz

  • Family Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1306258058
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000346 Issued in CA
Practice address
2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone
(909) 881-4335
Fax
(909) 881-4325
NPI assigned
May 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000346 CA Primary

Addresses

Primary practice location

2101 N Waterman Ave
San Bernardino, CA 92404-4836

Mailing address

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone (909) 881-4335

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007003060 CA Practitioner - Nurse Practitioner 0941518104 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ignite Emergency Physicians a Medical CorporationGroup PAC ID 2365988326, 46 clinicians

Practice addresses (Care Compare)

16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Emergency Medicine CurrentSince Aug 19, 2015 Accepting new patients
Osher Resources Inc CurrentSince Sep 13, 2018 Accepting new patients
Shasta Emergency Medical Associates Inc CurrentSince Aug 1, 2023 Accepting new patients
Desert Valley Medical Group, Inc. CurrentSince May 1, 2022 Accepting new patients
Mountain View Urgent Care Group, Inc CurrentSince Aug 19, 2015 Accepting new patients
Dispatchhealth-Ca, PC CurrentSince Nov 1, 2022 Accepting new patients
Desert Valley Medical Group, Inc CurrentSince May 1, 2022 Accepting new patients
Rabin Nikjoo, M.D., Inc. CurrentSince Apr 29, 2024 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Southland Emergency Medical Associates Inc CurrentSince Sep 1, 2022 Accepting new patients
Advanced Medical and Urgent Care Center CurrentSince Jul 28, 2021 Accepting new patients
Southern California Emergency Medicine CurrentSince Aug 19, 2015 Accepting new patients
Ignite Emergency Physicians a Medical Corporation CurrentSince Jul 1, 2024 Accepting new patients
Southern California Emergency Medicine Current Accepting new patients
Professional Portable Radiologic Services Inc. Past Accepting new patients

Locations

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

12442 Limonite Ave
Unit 102
Eastvale, CA 91752
Phone (951) 393-3000

16465 Sierra Lakes Pkwy
Ste 100
Fontana, CA 92336
Phone (909) 434-1150

1407 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-3577

604 E Huntington Dr
Ste B
Monrovia, CA 91016

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

1295 Hamner Ave
Ste C
Norco, CA 92860
Phone (951) 272-6500

6350 Laurel Canyon Blvd
Ste 205
North Hollywood, CA 91606
Phone (818) 325-2090

1801 W Olympic Blvd
#2611
Pasadena, CA 91199

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

720 Carnegie Dr
Ste 140
San Bernardino, CA 92408

4719 Viewridge Ave
Ste 130
San Diego, CA 92123
Phone (303) 500-1815

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

18751 Ventura Blvd
Ste 100
Tarzana, CA 91356
Phone (818) 213-1693

140 Centennial Way
Tustin, CA 92780
Phone (706) 315-2523

974 W Foothill Blvd
Upland, CA 91786
Phone (909) 932-1122

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

33494 Oak Glen Rd
Yucaipa, CA 92399
Phone (909) 797-8900

Interoperability endpoints

  • Direct secure messaging: christopher.ruiz.d1.p1@direct.dvmg.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/18095/brand/2/csg/1/fhir/r4
  • Direct secure messaging: christopher.ruiz.p2@direct.hvvmg.nextgenshare.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1306258058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044836",
            "telephone_number": "909-881-4335",
            "fax_number": "909-881-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044836",
            "telephone_number": "909-881-4335",
            "fax_number": "909-881-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.