Individual provider Active NPI

Rosalba Trias-Ruiz, PH.D.

  • Clinical Psychologist
  • Whittier, CA
National Provider Identifier
1376663179
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY15380 Issued in CA
Practice address
7032 Comstock Ave Ste 200
Whittier, CA 90602-1390
Phone
(626) 636-5442
Fax
(562) 907-6797
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY15380 CA Primary

Addresses

Primary practice location

7032 Comstock Ave Ste 200
Whittier, CA 90602-1390

Mailing address

20620 Gartel Dr
Walnut, CA 91789-1918
Phone (626) 636-5442

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220113001509 CA Practitioner - Clinical Psychologist 8820480361 Practice locations: Whittier, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY15380CAMDClinical Psychologist

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1376663179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20620 GARTEL DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891918",
            "telephone_number": "626-636-5442",
            "fax_number": "562-696-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7032 COMSTOCK AVE STE 200",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021390",
            "telephone_number": "626-636-5442",
            "fax_number": "562-907-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIAS-RUIZ",
        "first_name": "ROSALBA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.