Active NPI
Eilen Jacobo Ruiz, ASW
- Social Worker
- Bakersfield, CA
National Provider Identifier
1326779091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 124182
- Practice address
- 3300 Truxtun Ave
Bakersfield, CA 93301-3137 - Phone
- (661) 868-8224
- NPI assigned
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Social Worker | 104100000X | 124182 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3300 Truxtun Ave
Bakersfield, CA 93301-3137
Mailing address
5603 Ripple Cove Way
Bakersfield, CA 93313-5356
Phone (661) 868-1727
Other practice location 1
2151 College Ave
Bakersfield, CA 93305-4113
Phone (661) 868-8156
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124182 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1326779091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5603 RIPPLE COVE WAY",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933135356",
"telephone_number": "661-868-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 TRUXTUN AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013137",
"telephone_number": "661-868-8224"
}
],
"practiceLocations": [
{
"address_1": "2151 College Ave",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933054113",
"country_code": "US",
"telephone_number": "661-868-8156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBO RUIZ",
"first_name": "EILEN",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-22",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "124182",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.