Edward G Ruiz, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86101037 Issued in CA

Practice address

30075 Avenida Los Ninos
Cathedral City, CA 92234-2810

Phone

(619) 386-7336

Fax

(760) 406-5565

NPI assigned

Mar 13, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Desert Diabetes and Nutrition Care LLC

  • Registered Dietitian
  • Cathedral City, CA
  • NPI 1700620077

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1376179002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30075 AVENIDA LOS NINOS",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922342810",
            "telephone_number": "619-386-7336",
            "fax_number": "760-406-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30075 AVENIDA LOS NINOS",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922342810",
            "telephone_number": "619-386-7336",
            "fax_number": "760-406-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "EDWARD",
        "middle_name": "G",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-13",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": "86101037",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86101037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent L Rommereim
• Brian Donald Rose, LCSW
• Trinity Rose
• Aaron Ruano, DPT
• Ruben Mendez DDS a Professional Corporation
• Gavin Sadow
• Alyce Reiko Saito
• Ahmad Salam, PHARMD
• Mira Salama, DO
• Claudia Lorena Salcido, PA-C

• Registered Dietitian in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.