Individual provider Active NPI

Ruby Rosas Ruiz

  • Clinical Social Worker
  • Ventura, CA
National Provider Identifier
1366731432
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
79522 Issued in CA
Practice address
5740 Ralston St
Ste 100
Ventura, CA 93003-6051
Phone
(805) 289-3337
NPI assigned
Mar 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 79522 CA Primary

Addresses

Primary practice location

5740 Ralston St
Ste 100
Ventura, CA 93003-6051

Mailing address

5740 Ralston St
Ste 100
Ventura, CA 93003-6051
Phone (805) 289-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 8, 2025 through Dec 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
79522CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura Family Therapy Collective Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1366731432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 RALSTON ST",
            "address_2": "STE 100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036051",
            "telephone_number": "805-289-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 RALSTON ST",
            "address_2": "STE 100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036051",
            "telephone_number": "805-289-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSAS RUIZ",
        "first_name": "RUBY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "79522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.