Individual provider Active NPI

Evelyn Ruelas Garcia, M.ED.

  • Health & Wellness Coach
  • San Jose, CA
National Provider Identifier
1366319196
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
6CDEA8B619 Issued in CA
Practice address
2025 Clarice Dr
San Jose, CA 95122-1204
Phone
(408) 270-6751
NPI assigned
Oct 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 6CDEA8B619 CA Primary

Addresses

Primary practice location

2025 Clarice Dr
San Jose, CA 95122-1204

Mailing address

1290 Ridder Park Dr
San Jose, CA 95131-2304

Other practice location 1

1290 Ridder Park Dr
San Jose, CA 95131-2304
Phone (408) 453-6500

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
6CDEA8B619CAMDHealth & Wellness Coach

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Clinics CurrentSince Oct 21, 2025 Accepting new patients
Starlight Community Services, Inc. CurrentSince Oct 21, 2025 Accepting new patients

Locations

2025 Clarice Dr
San Jose, CA 95122
Phone (408) 270-6751

Organizations & group practices 2

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": "1760659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1366319196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 RIDDER PARK DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312304",
            "fax_number": "408-453-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 CLARICE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221204",
            "telephone_number": "408-270-6751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1290 Ridder Park Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951312304",
            "country_code": "US",
            "telephone_number": "408-453-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUELAS GARCIA",
        "first_name": "EVELYN",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "6CDEA8B619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.